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
Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) Carmel, IN $814.20 $20.23 – $162.17
Adventhealth Wesley Chapel Wesley Chapel, FL $817.25 not published
Adventhealth Carrollwood Tampa, FL $817.25 not published
Adventhealth Tampa Tampa, FL $817.25 not published
Adventhealth Riverview Riverview, FL $817.25 not published
Adventhealth Zephyrhills Zephyrhills, FL $817.25 not published
Banner North Colorado Medical Center - Loveland Campus Loveland, CO $819.11 $107.94 – $716.98
Adventhealth Rollins Brook Lampasas, TX $820.97 $505.04 – $505.04
Adventhealth Central Texas Killeen, TX $820.97 $505.04 – $505.04
St. Mary Medical Center Long Beach, CA $832.48 $98.83 – $613.70
Northridge Hospital Medical Center Northridge, CA $896.99 $40.79 – $627.00
East Morgan County Hospital Brush, CO $923.76 $191.74 – $441.35
Adventhealth Ocala Ocala, FL $938.42 not published
Adventhealth Shawnee Mission Shawnee Mission, KS $940.28 not published
Adventhealth South Overland Park Overland Park, KS $940.28 not published
Adventhealth Ottawa Ottawa, KS $940.28 not published
Siena Hospital Henderson, NV $948.18 $121.31 – $445.05
Texas Health Hospital Mansfield Mansfield, TX $955.09 $357.86 – $357.86
Texas Health Huguley Hospital Fort Worth South Burleson, TX $955.09 $357.86 – $357.86
Adventhealth North Pinellas Tarpon Springs, FL $969.00 not published
Community Hospital San Bernardino San Bernardino, CA $1,013.87 $113.00 – $7,832.00
NewYork-Presbyterian Queens Flushing, NY $1,014.00 $1,150.38 – $1,206.57
Texas Health Arlington Memorial Hospital Arlington, TX $1,034.25 $178.14 – $178.14
Texas Health Presbyterian Hospital Allen Allen, TX $1,034.25 $178.14 – $178.14
Texas Health Presbyterian Hospital Denton Denton, TX $1,034.25 $178.14 – $178.14
Texas Health Presbyterian Hospital Dallas Dallas, TX $1,034.25 $178.14 – $178.14
Texas Health Heart & Vascular Hospital Arlington Arlington, TX $1,034.25 $192.44 – $192.44
Texas Health Presbyterian Hospital Kaufman Kaufman, TX $1,034.25 $245.31 – $245.31
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX $1,034.25 $178.14 – $178.14
Texas Health Presbyterian Hospital Plano Plano, TX $1,034.25 $178.14 – $178.14
Texas Health Hospital Rockwall Rockwall, TX $1,034.25 $192.44 – $192.44
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX $1,034.25 $178.14 – $178.14
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX $1,034.25 $178.14 – $178.14
Texas Health Harris Methodist Hospital Stephenville Stephenville, TX $1,034.25 $245.31 – $245.31
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX $1,034.25 $245.31 – $245.31
Emory University Hospital Ne, GA $1,038.00 not published
Emory Decatur Hospital Decatur, GA $1,038.00 not published
Emory Hillandale Hospital Lithonia, GA $1,038.00 not published
Emory Long-Term Acute Care Hospital Decatur, GA $1,038.00 not published
Emory Johns Creek Hospital Johns Creek, GA $1,038.00 not published
Emory Rehabilitation Hospital Atlanta, GA $1,038.00 not published
Emory Saint Joseph's Hospital Atlanta, GA $1,038.00 not published
Emory University Hospital Midtown Atlanta, GA $1,038.00 not published
Arroyo Grande Hospital Santa Maria, CA $1,043.90 $98.83 – $454.00
Adventhealth Port Charlotte Port Charlotte, FL $1,046.33 not published
St. Bernardine Medical Center San Bernardino, CA $1,050.62 $119.00 – $894.62
Adventhealth Redmond Rome, GA $1,054.63 not published
MercyOne Centerville Medical Center Centerville, IA $1,058.00 $79.75 – $386.00
Washakie Medical Center Worland, WY $1,065.19 $157.92 – $319.13
HENDERSONVILLE MEDICAL CENTER HENDERSONVILLE, TN $1,093.19 $141.95 – $141.95

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