Established Patient Office Visit (level 5) cost at US hospitals

Office visit, established patient, high complexity · CPT 99215

What is Established Patient Office Visit (level 5)? Read the full explainer →

Established Patient Office Visit (level 5)

This is the top of the five established patient office visit levels — the long, high-complexity appointment. It describes a severe flare of a chronic illness, or a problem that poses a threat to life or to the function of a part of the body, with decisions carrying substantial risk. It is the most expensive office visit code and the one payers scrutinize most.

$43.00

lowest cash price

$290.68

national median

$2,952.30

highest cash price

651

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $43.00–$2,952.30 — the variation is the story.

Cheapest published cash price

$43.00

MUSC Health Black River Medical Center — Cades, SC

Most expensive published cash price

$2,952.30

Providence Valdez Medical Center — Valdez, AK

Median cash price over time

Aug 1, 2025 ($328.45) → Sep 1, 2026 ($467.82)

By state

State Hospitals Lowest cash Median Highest
Alaska 3 $497.64 $497.64 $2,952.30
Arizona 18 $117.95 $2,272.34 $2,820.40
Arkansas 10 $105.20 $222.95 $550.00
California 42 $47.40 $156.95 $2,882.63
Colorado 10 $588.82 $588.82 $1,112.57
Florida 74 $262.70 $770.90 $2,300.00
Georgia 25 $159.00 $193.83 $1,209.25
Hawaii 2 $91.84 $91.84 $351.00
Illinois 48 $166.25 $377.40 $640.80
Indiana 19 $47.08 $522.60 $1,126.80
Iowa 31 $122.22 $265.60 $2,950.00
Kansas 9 $158.40 $313.60 $872.58
Kentucky 15 $159.06 $325.80 $916.20
Louisiana 2 $201.24 $201.24 $201.24
Maine 7 $328.45 $464.00 $962.80
Maryland 1 $175.80 $175.80 $175.80
Michigan 20 $117.60 $178.74 $427.20
Minnesota 17 $85.01 $232.99 $1,059.20
Mississippi 10 $160.02 $279.90 $384.50
Missouri 19 $131.25 $287.10 $538.85
Montana 2 $269.60 $269.60 $311.20
Nebraska 13 $122.22 $275.50 $682.52
Nevada 2 $132.23 $132.23 $146.42
New Hampshire 1 $410.50 $410.50 $410.50
New Jersey 22 $85.78 $138.18 $385.00
New York 22 $165.60 $487.32 $1,014.00
North Carolina 14 $374.00 $374.00 $560.12
North Dakota 2 $301.60 $301.60 $311.20
Ohio 37 $47.00 $168.75 $1,572.10
Oklahoma 17 $226.85 $264.46 $700.20
Oregon 12 $165.76 $411.75 $521.25
Pennsylvania 28 $130.80 $316.00 $1,136.00
South Carolina 10 $43.00 $214.50 $518.00
South Dakota 4 $306.40 $322.40 $1,095.20
Tennessee 35 $44.66 $82.80 $1,114.54
Texas 86 $113.58 $367.50 $2,103.85
Virginia 20 $45.31 $264.60 $408.60
Washington 24 $72.42 $216.50 $403.90
West Virginia 16 $63.00 $157.00 $502.40
Wisconsin 32 $165.00 $332.50 $831.54
Wyoming 4 $430.08 $1,282.90 $1,356.58

All hospitals

Hospital Location Cash price Negotiated range
Methodist Midlothian Medical Center Midlothian, TX $367.50 $133.74 – $338.39
Methodist Richardson Medical Center Richardson, TX $367.50 $63.54 – $338.39
Methodist Celina Medical Center Celina, TX $367.50 $115.25 – $313.33
Methodist Southlake Medical Center Souhtlake, TX $367.50 $48.76 – $338.39
UPMC Cole Coudersport, PA $367.80 $59.28 – $256.00
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI $370.00 not published
64-0663760 BMH Booneville Booneville, MS $371.76 $116.84 – $122.15
Adventhealth Hendersonville Hendersonville, NC $374.00 not published
OSF Sacred Heart Medical Center – Urbana Danville, IL $377.40 not published
OSF Little Company of Mary Medical Center Evergreen Park, IL $377.40 not published
OSF St Joseph Medical Center Bloomington, IL $377.40 not published
OSF St Mary Medical Center Galesburg, IL $377.40 not published
Waldo County General Hospital Belfast, ME $381.95 $23.32 – $54.68
MercyOne Elkader Medical Center Elkader, IA $382.00 $76.90 – $378.36
MercyOne Centerville Medical Center Centerville, IA $382.00 $65.37 – $362.00
62-1519754 BMH Golden Triangle Columbus, MS $384.50 $116.84 – $193.00
Childrens Specialized Hospital Mountainside, NJ $385.00 $366.00 – $366.00
HSHS St. Anthony's Memorial Hospital Mattoon, IL $393.12 $546.00 – $546.00
Mid Coast Hospital Brunswick, ME $396.35 $125.85 – $290.78
OSF Saint Anthony's Health Center Alton, IL $398.40 $341.13 – $341.13
CHI Memorial Hospital Chattanooga Chattanooga, TN $399.74 $94.76 – $661.50
Inova Alexandria Hospital Alexandria, VA $401.50 $357.98 – $626.34
Inova Fairfax Hospital Falls Church, VA $401.50 $357.98 – $626.34
Inova Fair Oaks Hospital VA 22033-1709, VA $401.50 $357.98 – $626.34
Inova Loudoun Hospital Leesburg, VA $401.50 $357.98 – $626.34
Inova Mount Vernon Hospital Alexandria, VA $401.50 $357.98 – $626.34
St Francis Eastside Greenville, SC $402.60 not published
Providence Mount Carmel Hospital Colville, WA $403.90 not published
OSF Saint Elizabeth Medical Center Ottawa, IL $406.20 not published
St Mary's Hospital Richmond, VA $408.60 not published
St Francis Medical Center Midlothian, VA $408.60 not published
Memorial Regional Hospital Mechanicsville, VA $408.60 not published
MaineHealth - Memorial Hospital North Conway, NH $410.50 $33.35 – $92.21
Providence Newberg Medical Center Newberg, OR $411.75 not published
Providence Portland Medical Center Portland, OR $411.75 not published
Providence St Vincent Medical Center Portland, OR $411.75 not published
Providence Willamette Falls Medical Center Oregon City, OR $411.75 not published
Providence Milwaukie Hospital Milwaukie, OR $411.75 not published
UPMC McKeesport Mckeesport, PA $413.40 $36.08 – $211.32
OSF Saint Anthony Medical Center Rockford, IL $416.40 $153.56 – $153.56
UPMC Wellsboro Wellsboro, PA $421.20 $85.86 – $187.68
UPMC Williamsport Williamsport, PA $421.20 $85.86 – $233.43
CHI Health St. Mary's Nebraska City, NE $424.13 $94.90 – $425.28
HSHS St. Joseph's Hospital HIGHLAND, IL $424.80 $146.00 – $590.00
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola, FL $426.80 $117.66 – $117.66
OSF Holy Family Medical Center Monmouth, IL $427.20 not published
OSF Saint Clare Medical Center Princeton, IL $427.20 not published
OSF St Francis Hospital Escanaba, MI $427.20 not published
OSF Saint Paul Medical Center Mendota, IL $427.20 not published
CHI Health Plainview Plainview, NE $429.24 $62.83 – $139.49

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