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
HCA FLORIDA POINCIANA HOSPITAL DAVENPORT, FL not published $139.65 – $147.00
OVIEDO MEDICAL CENTER Oviedo, FL not published $142.59 – $142.59
HCA FLORIDA OSCEOLA HOSPITAL ORLANDO, FL not published $139.65 – $147.00
HCA FLORIDA ORANGE PARK HOSPITAL MIDDLEBURG, FL not published $139.65 – $142.59
HCA FLORIDA OAK HILL HOSPITAL BROOKSVILLE, FL not published $139.65 – $142.59
HCA FLORIDA NORTHWEST HOSPITAL MARGATE, FL not published $145.35 – $148.41
HCA FLORIDA NORTHSIDE HOSPITAL ST PETERSBURG, FL not published $139.65 – $142.59
HCA FLORIDA NORTH FLORIDA HOSPITAL NEWBERRY, FL not published $139.65 – $147.00
HCA FLORIDA MERCY HOSPITAL MIAMI, FL not published $152.00 – $155.20
HCA FLORIDA MEMORIAL HOSPITAL JACKSONVILLE, FL not published $139.65 – $142.59
HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE PARKER, CO not published $145.35 – $148.41
HCA FLORIDA LARGO HOSPITAL LARGO, FL not published $139.65 – $142.59
HCA FLORIDA LAKE MONROE HOSPITAL SANFORD, FL not published $139.65 – $147.00
HCA FLORIDA LAKE CITY HOSPITAL LIVE OAK, FL not published $139.65 – $147.00
HCA FLORIDA HIGHLANDS HOSPITAL Sebring, FL not published $142.59 – $142.59
HCA FLORIDA FORT WALTON-DESTIN HOSPITAL NAVARRE, FL not published $139.65 – $147.00
HCA FLORIDA FAWCETT HOSPITAL FORT MYERS, FL not published $139.65 – $142.59
HCA FLORIDA ENGLEWOOD HOSPITAL ENGLEWOOD, FL not published $139.65 – $142.59
HCA FLORIDA CITRUS HOSPITAL Inverness, FL not published $254.86 – $260.22
HCA FLORIDA CAPITAL HOSPITAL TALLAHASSEE, FL not published $139.65 – $147.00
HCA FLORIDA BRANDON HOSPITAL TAMPA, FL not published $139.65 – $142.59
HCA FLORIDA BLAKE HOSPITAL BRADENTON, FL not published $139.65 – $142.59
HCA FLORIDA AVENTURA HOSPITAL HIALEAH, FL not published $152.00 – $155.20
HCA HOUSTON WEST HOUSTON, TX not published $306.96 – $306.96
HCA HOUSTON SOUTHEAST PASADENA, TX not published $306.96 – $306.96
HCA HOUSTON NORTHWEST SPRING, TX not published $306.96 – $306.96
HCA HOUSTON PEARLAND Pearland, TX not published $306.96 – $306.96
HCA HOUSTON KINGWOOD HUMBLE, TX not published $306.96 – $306.96
HCA HOUSTON CLEAR LAKE FRIENDSWOOD, TX not published $306.96 – $306.96
HCA HOUSTON MEDICAL CENTER Houston, TX not published $306.96 – $306.96
HCA HEALTHCARE BRIGHTON PARK ER MONCKS CORNER, SC not published $115.63 – $188.70
LIVE OAK MENTAL HEALTH AND WELLNESS Ladson, SC not published $120.83 – $188.70
SUMMIT MEDICAL CENTER MT JULIET, TN not published $129.43 – $129.43
STONECREST MEDICAL CENTER Smyrna, TN not published $116.90 – $116.90
SKYLINE MADISON CAMPUS NASHVILLE, TN not published $121.08 – $121.08
HORIZON MEDICAL CENTER DICKSON, TN not published $133.60 – $133.60
CENTENNIAL MEDICAL CENTER AT ASHLAND CITY Ashland City, TN not published $83.50 – $83.50
MEDICAL CITY ALLIANCE HOSPITAL SAGINAW, TX not published $360.75 – $360.75
MEDICAL CITY DALLAS HOSPITAL Dallas, TX not published $360.75 – $360.75
MEDICAL CITY NORTH HILLS HOSPITAL North Richland Hills, TX not published $360.75 – $360.75
MEDICAL CITY FRISCO HOSPITAL Frisco, TX not published $360.75 – $360.75
MultiCare Yakima Memorial Hospital Yakima, WA not published not published
MultiCare Allenmore Hospital Tacoma, WA not published not published
MultiCare Valley Hospital Spokane Valley, WA not published not published
MultiCare Mary Bridge Children's Hospital Tacoma, WA not published not published
MultiCare Good Samaritan Hospital Puyallup, WA not published not published
MultiCare Covington Medical Center Covington, WA not published not published
MultiCare Capital Medical Center Olympia, WA not published not published
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX not published $102.82 – $102.82
MultiCare Auburn Medical Center Auburn, WA not published not published

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