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 |
|---|---|---|---|
| Sentara Princess Anne Hospital | Virginia Beach, VA | not published | $167.47 – $167.47 |
| Sentara CarePlex Hospital | Hampton, VA | not published | $167.47 – $167.47 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | not published | $167.47 – $167.47 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $65.21 – $158.65 |
| Sentara Leigh Hospital | Norfolk, VA | not published | $167.47 – $167.47 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $224.60 – $224.60 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $65.21 – $118.41 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $224.60 – $224.60 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $78.02 – $78.02 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $107.15 – $195.18 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $65.21 – $125.25 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $20.23 – $162.17 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $210.35 – $766.27 |
| Henry Ford River District Hospital | China Township, MI | not published | $107.15 – $195.18 |
| Covenant Medical Center | Lubbock, TX | not published | $447.32 – $766.27 |
| South Brooklyn Health | Brooklyn, NY | not published | $0.01 – $645.00 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $78.02 – $78.02 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $20.23 – $162.17 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $223.97 – $223.97 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $224.60 – $224.60 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $56.77 – $185.10 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $127.40 – $544.40 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $139.65 – $142.59 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $127.40 – $544.40 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $127.40 – $544.40 |
| Jacobi Medical Center | Bronx, NY | not published | $0.01 – $645.00 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $0.01 – $645.00 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $20.23 – $162.17 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $127.40 – $544.40 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $170.25 – $306.44 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $20.23 – $162.17 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $20.23 – $162.17 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $95.55 – $218.54 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $224.60 – $224.60 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $110.33 – $170.85 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $373.75 – $373.75 |
| Palisades Medical Center | North Bergen, NJ | not published | $224.92 – $224.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $95.55 – $224.92 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | not published | $170.25 – $306.44 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | not published | $170.25 – $306.44 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | not published | $170.25 – $306.44 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $224.92 – $224.92 |
| Queens Hospital Center | Jamaica, NY | not published | $0.01 – $645.00 |
| University Hospitals Elyria Medical Center | Elyria, OH | not published | $170.25 – $306.44 |
| Ocean University Medical Center | Brick, NJ | not published | $218.54 – $218.54 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $224.92 – $84,414.00 |
| Bayshore Medical Center | Holmdel, NJ | not published | not published |
| Woodhull Medical Center | Brooklyn, NY | not published | $0.01 – $645.00 |
| Harlem Hospital Center | New York, NY | not published | $0.01 – $645.00 |
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