New Patient Office Visit (level 4) cost at US hospitals

Office visit, new patient, moderate complexity · CPT 99204

What is New Patient Office Visit (level 4)? Read the full explainer →

New Patient Office Visit (level 4)

This is a longer first appointment for someone arriving with several things going on at once, or with one condition serious enough to need careful weighing. The decision-making is of moderate complexity — outside records reviewed, prescriptions started or changed, a real plan made. It is the level most specialists bill for a first consultation.

$41.80

lowest cash price

$291.06

national median

$2,667.98

highest cash price

590

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $41.80–$2,667.98 — the variation is the story.

Cheapest published cash price

$41.80

RIDEOUT MEMORIAL HOSPITAL — Marysville, CA

Most expensive published cash price

$2,667.98

Banner Lassen Medical Center — Susanville, CA

Median cash price over time

Aug 1, 2025 ($370.85) → Sep 1, 2026 ($561.82)

By state

State Hospitals Lowest cash Median Highest
Alaska 4 $462.54 $468.78 $2,633.28
Arizona 19 $101.10 $1,923.18 $2,577.54
Arkansas 10 $73.35 $237.25 $454.00
California 45 $41.80 $178.08 $2,667.98
Colorado 10 $529.82 $529.82 $923.76
Florida 75 $186.11 $746.85 $2,008.85
Georgia 23 $184.86 $226.44 $1,213.18
Hawaii 1 $84.48 $84.48 $84.48
Illinois 47 $100.00 $326.40 $643.68
Indiana 19 $53.90 $485.40 $814.20
Iowa 29 $206.40 $289.60 $1,058.00
Kansas 9 $198.25 $940.28 $940.28
Kentucky 15 $129.89 $296.40 $714.60
Louisiana 2 $209.56 $209.56 $209.56
Maine 7 $352.80 $502.75 $701.80
Maryland 1 $146.40 $146.40 $146.40
Michigan 19 $118.16 $167.85 $183.30
Minnesota 4 $245.60 $268.80 $792.80
Mississippi 10 $64.24 $116.80 $260.48
Missouri 19 $159.75 $286.00 $384.80
Montana 2 $251.20 $251.20 $269.60
Nebraska 13 $260.36 $308.00 $566.69
Nevada 3 $132.23 $948.18 $2,609.54
New Hampshire 1 $410.50 $410.50 $410.50
New Jersey 22 $89.91 $144.83 $413.50
New York 22 $165.60 $443.20 $1,014.00
North Carolina 14 $361.00 $361.00 $486.94
North Dakota 2 $264.00 $264.00 $269.60
Ohio 31 $53.50 $121.20 $676.00
Oklahoma 18 $225.00 $254.10 $729.30
Oregon 10 $214.56 $383.25 $484.50
Pennsylvania 28 $126.00 $388.80 $610.80
South Carolina 10 $43.00 $205.50 $802.00
South Dakota 3 $232.00 $315.20 $740.80
Tennessee 34 $50.14 $84.60 $1,114.54
Texas 85 $102.36 $321.00 $2,265.78
Virginia 22 $50.14 $267.00 $514.80
Washington 24 $72.42 $217.32 $331.80
West Virginia 15 $63.00 $146.00 $467.20
Wisconsin 30 $145.20 $287.10 $1,190.41
Wyoming 4 $357.00 $1,065.19 $1,126.37

All hospitals

Hospital Location Cash price Negotiated range
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $41.80 $38.00 – $313.50
MUSC Health Black River Medical Center Cades, SC $43.00 $163.55 – $163.55
ST HELENA HOSPITAL Vallejo, CA $43.50 $68.90 – $278.26
ADVENTIST HEALTH TULARE Tulare, CA $49.59 $68.90 – $236.47
Dickenson Community Hospital CLINTWOOD, VA $50.14 $85.24 – $110.04
Hancock County Hospital SNEEDVILLE, TN $50.14 $65.21 – $96.86
Lee County Community Hospital PENNINGTON GAP, VA $50.14 $85.24 – $110.04
Johnson County Community Hospital MOUNTAIN CITY, TN $50.14 $85.24 – $96.86
Bristol Regional Medical Center BRISTOL, TN $51.00 $78.25 – $96.86
Franklin Woods Community Hospital JOHNSON CITY, TN $51.00 $110.04 – $117.37
Greeneville Community Hospital GREENEVILLE, TN $51.00 $46.95 – $96.86
Hawkins County Memorial Hospital ROGERSVILLE, TN $51.00 $65.21 – $96.86
Holston Valley Medical Center KINGSPORT, TN $51.00 $78.25 – $96.86
Indian Path Community Hospital KINGSPORT, TN $51.00 $96.86 – $117.37
Johnson City Medical Center JOHNSON CITY, TN $51.00 $96.86 – $117.37
Johnston Memorial Hospital ABINGDON, VA $51.00 $96.86 – $117.37
Lonesome Pine Hospital BIG STONE GAP, VA $51.00 $65.21 – $110.04
Russell County Hospital LEBANON, VA $51.00 $110.04 – $117.37
Smyth County Community Hospital MARION, VA $51.00 $110.04 – $117.37
Sycamore Shoals Hospital ELIZABETHTON, TN $51.00 $96.86 – $117.37
Parkview Bryan Hospital Bryan, OH $53.50 not published
Parkview Montpelier Hospital Montpelier, OH $53.50 not published
Parkview Logansport Hospital Logansport, IN $53.90 not published
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $53.90 not published
SIERRA VISTA HOSPITAL, INC. San Luis Obispo, CA $54.27 $116.00 – $217.10
MUSC Health Main Campus - Charleston Charleston, SC $59.50 $163.55 – $163.55
MUSC Health Orangeburg Medical Center Orangeburg, SC $59.50 not published
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA $61.46 $68.90 – $250.40
Camden Clark Medical Center Parkersburg, WV $63.00 $100.62 – $185.60
REEDLEY COMMUNITY HOSPITAL Reedley, CA $63.84 $3.66 – $619.49
64-0362400 Anderson Regional Main Campus Meridian, MS $64.24 $108.16 – $122.15
Reynolds Memorial Hospital Glen Dale, WV $64.50 $76.36 – $185.60
Claiborne Medical Center Tazewell, TN $70.56 $52.92 – $226.80
Virginia Mason Medical Center Seattle, WA $72.42 $4.87 – $1,176.97
West Virginia University Hospitals Morgantown, WV $72.50 $76.36 – $497.66
82-3844150 BMH Crittenden West Memphis, AR $73.35 $138.60 – $323.51
WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA $74.16 $68.90 – $439.11
ADVENTIST HEALTH DELANO Delano, CA $74.20 $98.83 – $264.47
HANFORD COMMUNITY HOSPITAL Selma, CA $78.85 $68.90 – $250.40
CASTLE MEDICAL CENTER Kailua, HI $84.48 $29.27 – $264.00
Morristown-Hamblen Hospital Association Morristown, TN $84.60 $59.22 – $253.80
Berkeley Medical Center Martinsburg, WV $86.00 $96.70 – $185.60
62-1138045 BMH Union City Union City, TN $89.80 $108.16 – $108.16
Robert Wood Johnson University Hospital Rahway Rahway, NJ $89.91 $95.55 – $95.55
Cumberland Medical Center, Inc. Crossville, TN $90.24 $59.22 – $253.80
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $90.72 $68.90 – $523.31
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $91.50 $68.90 – $236.47
TWIN CITIES COMMUNITY HOSPITAL Templeton, CA $91.98 $117.72 – $783.90
26-1214372 NEA Baptist Jonesboro, AR $92.53 $125.88 – $223.61
Fort Sanders Regional Medical Center Knoxville, TN $93.06 $59.22 – $253.80

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