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
Wellstar Sylvan Grove Hospital Jackson, GA $184.86 not published
Wellstar West Georgia Medical Center Lagrange, GA $184.86 not published
Wellstar Windy Hill Hospital Marietta, GA $184.86 not published
Aurora Medical Center Kenosha Kenosha, WI $185.00 not published
Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) Saint Johns, FL $186.11 $406.73 – $406.73
Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) Jacksonville, FL $186.11 $406.73 – $406.73
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) Jacksonville, FL $186.11 $406.73 – $406.73
Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) Middleburg, FL $186.11 $406.73 – $406.73
St. Anthony Hospital Gig Harbor, WA $187.06 $442.80 – $867.23
St. Anne Hospital Burien, WA $187.80 $264.45 – $755.08
St. Francis Hospital Federal Way, WA $193.01 $442.80 – $867.23
Mercy Hospital of Folsom Folsom, CA $194.12 $50.82 – $462.00
Mercy Hospital Pittsburg Pittsburg, KS $198.25 $109.24 – $283.46
64-0844470 MBMC Yazoo Yazoo City, MS $199.67 $122.15 – $153.18
St. Joseph Medical Center Tacoma, WA $203.69 $442.80 – $867.23
Beckley ARH Hospital Beckley, WV $204.60 $100.62 – $114.34
Whitesburg ARH Hospital Whitesburg, KY $204.60 $102.79 – $128.08
Aurora Medical Center Manitowoc Two Rivers, WI $205.00 not published
Aurora Medical Center Summit Summit, WI $205.00 not published
SSM Health St. Mary's Hospital - Centralia Centralia, IL $205.15 not published
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon, IL $205.15 not published
MUSC Health Chester Medical Center Chester, SC $205.50 $163.55 – $163.55
MercyOne Genesis Davenport West Medical Center Davenport, IA $206.40 not published
MEDICAL CITY ARGYLE HOSPITAL Argyle, TX $207.62 $360.75 – $360.75
Bakersfield Memorial Hospital Bakersfield, CA $208.83 $104.00 – $314.82
CHRISTUS St. Francis Cabrini Hospital Alexandria, LA $209.56 $56.77 – $92.16
CHI Saint Joseph Health - Saint Joseph East Lexington, KY $211.29 $128.56 – $478.66
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $214.56 $114.43 – $447.00
St. Elizabeth Hospital Enumclaw, WA $217.32 $64.00 – $553.50
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $218.51 $90.85 – $468.65
45-2896080 MBMC Leake Carthage, MS $219.15 $122.15 – $122.15
Morrow County Hospital Mount Gilead, OH $219.90 $84.46 – $139.35
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO $220.55 not published
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg, CA $221.76 $68.90 – $236.47
Aurora Medical Center Fond du Lac Fond Du Lac, WI $222.50 not published
MercyOne Genesis Davenport Medical Center Davenport, IA $223.20 not published
MercyOne Genesis Silvis Medical Center Silvis, IL $223.20 $68.61 – $258.52
MercyOne Genesis DeWitt Medical Center DeWitt, IA $223.20 $95.54 – $205.13
MercyOne Genesis Aledo Medical Center Aledo, IL $223.20 $372.00 – $2,970.16
MUSC Health Kershaw Medical Center Camden, SC $224.50 $163.55 – $163.55
Mercy Health Love County Rural Health Clinic MARIETTA, OK $225.00 $189.43 – $223.89
Mercy Hospital Tishomingo Tishomingo, OK $225.55 $147.66 – $283.46
CHI Memorial Hospital - Georgia Ringgold, GA $226.44 $94.76 – $619.65
CHI Memorial Hospital Hixson Hixson, TN $226.44 $94.76 – $535.50
Potomac Valley Hospital Keyser, WV $227.50 not published
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK $228.20 $140.86 – $143.69
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $228.20 $140.86 – $252.48
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $228.20 $140.86 – $249.54
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $228.20 $140.86 – $220.19
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $228.20 $140.86 – $220.19

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