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
Community Medical Center Toms River, NJ $144.55 $95.55 – $95.55
Jersey City Medical Center Jersey City, NJ $144.83 $95.55 – $114.81
Newark Beth Israel Medical Center Newark, NJ $145.18 $91.33 – $95.55
SSM Health St. Clare Hospital - Baraboo Baraboo, WI $145.20 not published
Richmond Community Hospital Richmond, VA $145.80 not published
Braxton County Memorial Hospital Gassaway, WV $146.00 not published
Jackson General Hospital Ripley, WV $146.00 not published
Jefferson Medical Center Ranson, WV $146.00 not published
St. Joseph's Hospital Buckhannon, WV $146.00 not published
Summersville Regional Medical Center Summersville, WV $146.00 not published
UPMC Western Maryland Cumberland, MD $146.40 $244.00 – $244.00
Cooperman Barnabas Medical Center Livingston, NJ $147.69 $95.55 – $95.55
Robert Wood Johnson University Hospital New Brunswick, NJ $148.67 $95.55 – $159.88
Redwood Memorial Hospital Fortuna, CA $150.96 not published
HSHS St. Joseph's Hospital Breese, IL $151.92 $150.00 – $173.49
Monmouth Medical Center Long Branch, NJ $152.50 $95.55 – $95.55
Henry Ford Providence Novi Hospital Novi, MI $154.00 $107.15 – $2,832.56
Princeton Community Hospital Princeton, WV $155.00 $90.37 – $684.22
Henry Ford Genesys Hospital Grand Blanc Twp, MI $155.40 $102.62 – $323.40
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $159.06 $90.84 – $394.94
Mercy Primary Care - Bernie Bernie, MO $159.75 $93.53 – $213.00
UPMC Chautauqua Jamestown, NY $165.60 $61.00 – $248.40
Monmouth Medical Center Southern Campus Lakewood, NJ $165.67 $95.55 – $95.55
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $167.85 $0.01 – $170.28
Henry Ford West Bloomfield Hospital West Bloomfield, MI $167.85 $0.01 – $170.28
Henry Ford Wyandotte Hospital: Wyandotte, MI $167.85 $0.01 – $170.28
Henry Ford Macomb Hospital Clinton Twp, MI $167.85 $0.01 – $170.28
Parkwest Medical Center Knoxville, TN $173.25 $145.49 – $220.00
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $175.00 not published
Barnesville Hospital Barnesville, OH $176.00 not published
St. Clare Hospital Lakewood, WA $177.27 $442.80 – $867.23
Advocate Illinois Masonic Medical Center Chicago, IL $177.50 $105.00 – $284.00
Advocate Childrens Hospital - Park Ridge Park Ridge, IL $177.50 $105.00 – $284.00
Advocate Sherman Hospital Elgin, IL $177.50 $105.00 – $319.50
Advocate South Suburban Hospital Hazel Crest, IL $177.50 $105.00 – $345.77
Advocate Trinity Hospital Chicago, IL $177.50 $105.00 – $284.00
Advocate Christ Medical Center Oak Lawn, IL $177.50 $105.00 – $284.00
Advocate Condell Medical Center Libertyville, IL $177.50 $105.00 – $284.00
Advocate Good Samaritan Hospital Downers Grove, IL $177.50 $84.00 – $284.00
Mercy Hospitals – Bakersfield Bakersfield, CA $178.08 $111.00 – $384.00
Henry Ford Rochester Hospital Rochester, MI $183.30 $128.98 – $165.35
SSM Health Cardinal Glennon Children's Hospital Saint Louis, MO $184.25 $133.04 – $133.04
Wellstar Cobb Hospital Austell, GA $184.86 not published
Wellstar Douglas Hospital Douglasville, GA $184.86 not published
Wellstar Kennestone Hospital Marietta, GA $184.86 not published
Wellstar MCG Health Augusta, GA $184.86 not published
Wellstar North Fulton Hospital Roswell, GA $184.86 not published
Wellstar Paulding Hospital Hiram, GA $184.86 not published
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280, GA $184.86 not published
Wellstar Spalding Regional Hospital Griffin, GA $184.86 not published

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