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
Methodist Medical Center of Oak Ridge Oak Ridge, TN $93.06 $59.22 – $253.80
64-0682111 BMH DeSoto Southaven, MS $97.80 $108.16 – $441.84
Uchicago Medicine Adventhealth Glenoaks Glendale Heights, IL $100.00 not published
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL $100.00 not published
Uchicago Medicine Adventhealth La Grange La Grange, IL $100.00 not published
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL $100.00 not published
WILLITS HOSPITAL INC Willits, CA $100.80 $68.90 – $407.41
Banner University Medical Center South Tucson, AZ $101.10 $54.54 – $240.00
St. Luke's Health Memorial Lufkin Lufkin, TX $102.36 $94.25 – $565.49
St. Luke's Health Memorial Livingston Livingston, TX $102.36 $94.25 – $565.49
St. Luke's Health Memorial San Augustine San Augustine, TX $102.36 $100.00 – $653.46
62-0123940 BMH Collierville Collierville, TN $102.69 $83.50 – $567.72
CHI St. Vincent Morrilton Morrilton, AR $103.16 $125.88 – $135.63
SONORA COMMUNITY HOSPITAL Sonora, CA $105.23 $68.90 – $254.00
UKIAH ADVENTIST HOSPITAL Ukiah, CA $106.20 $66.41 – $236.47
Mercy General Hospital Sacramento, CA $108.79 $113.00 – $462.00
62-1166050 BMH Carroll County Huntingdon, TN $112.01 $83.50 – $108.16
64-0772726 BMH North Mississippi Oxford, MS $112.01 $108.16 – $181.00
fairview hospital Cleveland, OH $113.10 $0.01 – $211.15
avon hospital Avon, OH $113.10 $0.01 – $156.60
euclid hospital Euclid, OH $113.10 $0.01 – $156.60
lutheran hospital Cleveland, OH $113.10 $0.01 – $211.15
hillcrest hospital Mayfield Heights, OH $113.10 $0.01 – $156.60
marymount hospital Garfield Heights, OH $113.10 $0.01 – $211.15
medina hospital Medina, OH $113.10 $0.01 – $156.60
south pointe hospital Warrensville Heights, OH $113.10 $0.01 – $211.15
64-0881013 MBMC Jackson Jackson, MS $113.61 $113.57 – $122.15
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $114.23 $95.55 – $284.53
Banner Boswell Medical Center Sun City, AZ $115.76 $54.54 – $384.00
64-0362400 Anderson Regional South Campus Meridian, MS $116.80 $108.16 – $122.15
64-0663760 BMH Booneville Booneville, MS $117.36 $108.16 – $122.15
Robert Wood Johnson University Hospital Somerset Somerville, NJ $117.79 $93.94 – $95.55
Henry Ford St John Hospital Detroit, MI $118.16 $107.15 – $195.18
Henry Ford Warren Hospital Warren, MI $118.16 $107.15 – $195.18
Covenant Hospital Plainview Plainview, TX $118.86 $276.79 – $285.03
Covenant Hospital Levelland Levelland, TX $118.86 $285.03 – $313.52
Defiance Hospital Defiance, OH $121.20 not published
Tiffin Hospital Tiffin, OH $121.20 not published
62-1519754 BMH Golden Triangle Columbus, MS $122.25 $108.16 – $193.00
UPMC Hanover Hanover, PA $126.00 $114.77 – $205.92
CHI Saint Joseph Health - Saint Joseph London London, KY $129.89 $51.98 – $331.24
UPMC Kane Kane, PA $130.20 $63.10 – $214.03
Trinitas Regional Medical Center Elizabeth, NJ $130.82 $88.72 – $95.55
San Martin Hospital Las Vegas, NV $132.23 $121.31 – $445.05
St. Joseph's Medical Center Stockton Stockton, CA $132.60 $94.71 – $369.82
Woodland Memorial Hospital Woodland, CA $136.73 $50.82 – $462.00
Mercy San Juan Medical Center Carmichael, CA $136.73 $50.82 – $462.00
Willard Hospital Willard, OH $136.80 not published
Clara Maass Medical Center Belleville, NJ $138.63 $95.55 – $95.55
Methodist Hospital of Sacramento Sacramento, CA $143.72 $96.00 – $462.00

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