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 |
|---|---|---|---|
| St Patrick Hospital - Broadway Campus | Missoula, MT | $269.60 | not published |
| Mercy Gilbert Medical Center | Gilbert, AZ | $269.87 | $93.66 – $1,097.00 |
| Aurora Medical Center Burlington | Burlington, WI | $270.00 | not published |
| Mercy Hospital Logan County | Guthrie, OK | $270.40 | $111.17 – $147.66 |
| Mercy Hospital Watonga | Watonga, OK | $270.40 | $111.17 – $283.46 |
| Mercy Hospital Healdton | Healdton, OK | $270.40 | $111.17 – $283.46 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $270.40 | $111.17 – $177.46 |
| CHI Health Missouri Valley | Missouri Valley, IA | $270.97 | $147.27 – $460.60 |
| St. Michael Medical Center | Silverdale, WA | $271.43 | $387.45 – $553.50 |
| UPMC Altoona | Altoona, PA | $274.20 | $20.00 – $365.60 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $280.15 | $108.36 – $258.45 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $281.16 | $290.40 – $429.44 |
| Providence St Joseph Hospital | Chewelah, WA | $282.10 | not published |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $282.80 | $134.67 – $134.67 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $286.00 | not published |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $286.00 | not published |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $286.00 | not published |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $286.00 | not published |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $286.00 | not published |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $286.00 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $287.10 | $95.40 – $154.00 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $287.10 | $95.40 – $154.00 |
| HSHS St. Vincent Hospital | Green Bay, WI | $287.10 | $113.00 – $154.00 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $287.10 | $95.40 – $154.00 |
| UPMC Bedford | Everett, PA | $287.40 | $36.08 – $431.10 |
| Southside Regional Medical Center | Petersburg, VA | $288.90 | not published |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $289.60 | $121.61 – $251.15 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $289.60 | $121.61 – $251.15 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $289.60 | $121.61 – $333.04 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $289.60 | $121.61 – $251.15 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $289.60 | $121.61 – $251.15 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $289.60 | $121.61 – $251.15 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $289.60 | $94.12 – $251.15 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $289.60 | $121.61 – $251.15 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $289.60 | $121.61 – $283.30 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $289.60 | $121.61 – $257.10 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $289.60 | $121.61 – $251.15 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $289.60 | $121.61 – $251.15 |
| Mark Twain Medical Center | San Andreas, CA | $291.05 | $58.73 – $222.46 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $291.06 | $103.95 – $589.05 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $291.06 | $117.81 – $589.05 |
| Lasting Hope Recovery Center | Omaha, NE | $291.06 | $117.81 – $589.05 |
| CHI Health Immanuel | Omaha, NE | $291.06 | $97.02 – $589.05 |
| CHI Health Lakeside | Omaha, NE | $291.06 | $110.88 – $589.05 |
| CHI Health Midlands | Papillion, NE | $291.06 | $124.74 – $589.05 |
| St Mary's Hospital | Richmond, VA | $294.00 | not published |
| Chandler Regional Medical Center | Chandler, AZ | $294.00 | $93.66 – $736.68 |
| Marcum Wallace Hospital | Irvine, KY | $296.40 | not published |
| UPMC Hamot | Erie, PA | $297.00 | $99.41 – $419.02 |
| UPMC Mercy | Pittsburgh, PA | $300.00 | $36.08 – $235.33 |
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