New Patient Office Visit (level 4) cost at US hospitals
Office visit, new patient, moderate complexity · CPT 99204
$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.
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 |
|---|---|---|---|
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $570.60 | $20.23 – $162.17 |
| Hazard ARH Regional Medical Center | Hazard, KY | $571.20 | $102.79 – $188.66 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $575.00 | not published |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | $597.00 | $145.35 – $148.41 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $601.97 | not published |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $608.00 | $50.00 – $592.69 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $608.00 | $42.00 – $467.16 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | $608.55 | $360.75 – $360.75 |
| UPMC Community Osteopathic | Harrisburg, PA | $610.80 | $42.00 – $658.70 |
| UPMC Somerset | Somerset, PA | $610.80 | $26.90 – $193.76 |
| Adventhealth Manchester | Manchester, KY | $627.47 | not published |
| Glendale Memorial Hospital Health Center | Glendale, CA | $631.47 | $110.00 – $519.19 |
| Healdsburg Hospital | Healdsburg, CA | $633.42 | not published |
| Adventhealth Fish Memorial | Orange City, FL | $641.63 | not published |
| Adventhealth Daytona Beach | Daytona Beach, FL | $641.63 | not published |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $643.68 | $173.49 – $265.00 |
| Harlan ARH Hospital | KY 40831, KY | $662.40 | not published |
| Paintsville ARH Hospital | Paintsville, KY | $662.40 | $102.79 – $128.08 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $668.85 | $309.73 – $615.13 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $672.90 | $192.44 – $192.44 |
| cleveland clinic main campus | Cleveland, OH | $676.00 | $0.01 – $157.50 |
| akron general | Akron, OH | $676.00 | $0.01 – $211.15 |
| cleveland clinic florida weston hospital | Weston, FL | $676.00 | $36.62 – $520.00 |
| martin north hospital | Stuart, FL | $676.00 | $45.34 – $197.37 |
| indian river hospital | Vero Beach, FL | $676.00 | $51.23 – $884.00 |
| mercy hospital | Canton, OH | $676.00 | $0.01 – $156.60 |
| Waldo County General Hospital | Belfast, ME | $680.20 | $65.06 – $152.56 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $683.71 | $172.20 – $716.98 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | $689.97 | $360.75 – $360.75 |
| AdventHealth Deland | Deland, FL | $695.07 | not published |
| Middlesboro ARH Hospital | Middlesboro, KY | $695.40 | $114.34 – $188.66 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $695.40 | $100.62 – $188.66 |
| Lincoln Health | Damariscotta, ME | $701.80 | $129.76 – $322.52 |
| Lourdes Hospital | Paducah, KY | $714.60 | not published |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $715.00 | $1,171.73 – $1,171.73 |
| French Hospital | San Luis Obispo, CA | $725.20 | $98.01 – $355.74 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $729.30 | $204.47 – $234.30 |
| Adventhealth Palm Coast | Palm Coast, FL | $737.40 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $737.40 | not published |
| Sanford USD Medical Center | Sioux Falls, SD | $740.80 | $58.45 – $198.90 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $746.85 | $263.12 – $1,034.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $746.85 | $10.96 – $56.70 |
| Fishermens Community Hospital | MARATHON, FL | $746.85 | $191.88 – $1,034.10 |
| Homestead Hospital | HOMESTEAD, FL | $746.85 | $167.89 – $1,034.10 |
| Mariners Hospital | TAVERNIER, FL | $746.85 | $198.78 – $1,034.10 |
| Sterling Regional Medical Center | Sterling, CO | $758.27 | $126.94 – $441.35 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $764.26 | $93.66 – $265.05 |
| Adventhealth Lake Wales | Lake Wales, FL | $781.35 | not published |
| Sanford Worthington Medical Center | Worthington, MN | $792.80 | $87.62 – $203.40 |
| MUSC Health Florence Medical Center | Florence, SC | $802.00 | $163.55 – $163.55 |
Related office visits procedures
- Annual Physical, Established Patient (age 18-39) from $18.55
- Annual Physical, Established Patient (age 40-64) from $18.55
- Annual Physical, New Patient (age 18-39) from $9.50
- Annual Physical, New Patient (age 40-64) from $9.50
- Established Patient Office Visit (level 1) from $10.20
- Established Patient Office Visit (level 2) from $11.55