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 |
|---|---|---|---|
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $360.75 – $360.75 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $419.78 – $419.78 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $158.64 – $437.33 |
| Kadlec Regional Medical Center | Richland, WA | not published | $224.65 – $224.65 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $127.40 – $544.40 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $127.40 – $544.40 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $406.00 – $406.00 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $20.23 – $162.17 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $123.71 – $445.66 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $170.25 – $306.44 |
| Atrium Health University City | Charlotte, NC | not published | $123.71 – $445.66 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $123.71 – $445.66 |
| Atrium Health Union | Monroe, NC | not published | $123.71 – $445.66 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $123.71 – $445.66 |
| Atrium Health Cabarrus | Concord, NC | not published | $123.71 – $445.66 |
| Atrium Health Cleveland | Shelby, NC | not published | $123.71 – $445.66 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $101.72 – $269.21 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $158.64 – $437.33 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $127.40 – $544.40 |
| lodi hospital | Lodi, OH | not published | $91.53 – $105.99 |
| Atrium Health Stanly | Albermarle, NC | not published | $123.71 – $445.66 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $95.52 – $211.15 |
| Atrium Health Pineville | Charlotte, NC | not published | $123.71 – $445.66 |
| Atrium Health Mercy | Charlotte, NC | not published | $123.71 – $445.66 |
| Covenant Children's Hospital | Lubbock, TX | not published | $447.32 – $447.32 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $83.50 – $118.41 |
| Atrium Health Anson | Wadesboro, NC | not published | $123.71 – $445.66 |
| Berger Hospital | Circleville, OH | not published | $277.00 – $277.00 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $417.73 – $417.73 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $214.69 – $424.56 |
| Riverview Medical Center | Red Bank, NJ | not published | $218.54 – $218.54 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | not published | $214.69 – $424.56 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $179.63 – $454.08 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $179.63 – $454.08 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $224.60 – $224.60 |
| Sentara Norfolk General Hospital | Norfolk, VA | not published | $167.47 – $167.47 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $239.15 – $360.75 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $224.60 – $224.60 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $157.97 – $157.97 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $158.64 – $437.33 |
| North Central Bronx | Bronx, NY | not published | $0.01 – $645.00 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $118.41 – $118.41 |
| Corewell Health Wayne | Wayne, MI | not published | $104.87 – $508.11 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $83.50 – $118.41 |
| Corewell Health Troy | Troy, MI | not published | $104.87 – $569.86 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | not published | $134.67 – $134.67 |
| Sentara Obici Hospital | Suffolk, VA | not published | $167.47 – $167.47 |
| Corewell Health Trenton | Trenton, MI | not published | $104.87 – $453.20 |
| Corewell Health Taylor | Taylor, MI | not published | $104.87 – $595.07 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $104.87 – $338.12 |
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