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 |
|---|---|---|---|
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $228.20 | $140.86 – $220.19 |
| Ascension Providence | Waco, TX | $229.77 | $217.75 – $324.01 |
| Mercy Hospital Carthage | Carthage, MO | $230.10 | $117.76 – $155.34 |
| Mercy Hospital Aurora | Aurora, MO | $230.10 | $117.76 – $225.12 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $232.00 | $148.77 – $261.00 |
| Wetzel County Hospital | New Martinsville, WV | $234.50 | $99.41 – $185.60 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $236.69 | $135.47 – $446.81 |
| Mercy Hospital Ozark | River Ozark, AR | $237.25 | $110.46 – $178.80 |
| Mercy Hospital Paris | Academy Paris, AR | $237.25 | $123.44 – $199.81 |
| Mercy Hospital Waldron | Waldron, AR | $237.25 | $147.66 – $172.46 |
| Mercy Hospital Boonville | Booneville, AR | $237.25 | $147.66 – $172.46 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $238.35 | $74.00 – $681.00 |
| Baylor St Luke's Medical Center | Houston, TX | $238.35 | $82.00 – $681.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $238.35 | $74.00 – $681.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $238.35 | $74.00 – $681.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $238.35 | $74.00 – $681.00 |
| St Anne Hospital | Toledo, OH | $238.80 | not published |
| Aurora Medical Center Grafton | Grafton, WI | $240.00 | not published |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $240.62 | $45.00 – $275.40 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $241.38 | $188.50 – $319.03 |
| Sanford Sheldon Medical Center | Sheldon, IA | $244.00 | $86.93 – $274.50 |
| Mercy Hospital Berryville | Berryville, AR | $244.40 | $123.49 – $203.76 |
| Sanford Canby Medical Center | Canby, MN | $245.60 | $73.84 – $274.50 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $246.35 | $12.00 – $1,085.02 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $247.79 | $123.56 – $478.66 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $250.90 | $121.61 – $434.48 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $250.90 | $121.61 – $386.00 |
| Providence St Joseph Medical Center | Polson, MT | $251.20 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $252.20 | not published |
| Aurora West Allis Medical Center | West Allis, WI | $252.50 | not published |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $254.10 | $204.47 – $256.97 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $255.00 | $20.23 – $162.17 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $258.88 | $122.74 – $465.50 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $260.15 | not published |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $260.15 | not published |
| SSM Health Ripon Community Hospital | Ripon, WI | $260.15 | not published |
| CHI Health Nebraska Heart | Lincoln, NE | $260.36 | $135.84 – $464.12 |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $260.48 | $103.57 – $273.97 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $261.63 | $77.00 – $517.44 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $261.63 | $59.62 – $295.68 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $261.63 | $34.53 – $261.05 |
| St. Joseph Health College Station Hospital | College Station, TX | $261.63 | $77.00 – $517.44 |
| Sanford Fargo Medical Center | Fargo, ND | $264.00 | $91.64 – $297.00 |
| CHI Health Mercy Corning | Corning, IA | $265.44 | $202.10 – $460.60 |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $266.40 | $44.00 – $609.81 |
| Rappahannock General Hospital | Kilmarnock, VA | $267.00 | not published |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $267.20 | $50.00 – $230.95 |
| Sanford Bagley Medical Center | Bagley, MN | $268.80 | $81.35 – $302.40 |
| Sanford Bemidji Medical Center | Bemidji, MN | $268.80 | $151.72 – $302.40 |
| Sanford Medical Center Bismarck | Bismarck, ND | $269.60 | $106.86 – $303.30 |
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