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 |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh, PA | $300.00 | $99.41 – $273.64 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $303.00 | $99.41 – $254.99 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $304.00 | $163.55 – $163.55 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $306.09 | $140.21 – $357.24 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $306.09 | $140.21 – $306.26 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $306.09 | $140.21 – $357.24 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $307.00 | $74.55 – $307.00 |
| MercyOne Clinton Medical Center | Clinton, IA | $307.00 | $74.55 – $307.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $307.00 | $74.55 – $285.00 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $307.00 | $74.55 – $285.00 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $307.00 | $74.55 – $307.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $307.00 | $79.05 – $307.00 |
| CHI Health St. Elizabeth | Lincoln, NE | $308.00 | $141.68 – $492.80 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $309.00 | $35.00 – $306.44 |
| St Francis Medical Center | Midlothian, VA | $309.00 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $309.00 | not published |
| Houston Methodist Hospital | Houston, TX | $313.00 | $409.28 – $409.28 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $313.00 | $409.28 – $409.28 |
| Houston Methodist West Hospital | Houston, TX | $313.00 | $409.28 – $409.28 |
| Houston Methodist Baytown Hospital | Baytown, TX | $313.00 | $409.28 – $409.28 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $313.00 | $409.28 – $409.28 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $313.00 | $228.25 – $228.25 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $313.00 | $409.28 – $409.28 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $313.00 | not published |
| Houston Methodist Cypress Hospital | Cypress, TX | $313.00 | $409.28 – $409.28 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $315.20 | $150.62 – $344.70 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $317.20 | $111.17 – $283.46 |
| Methodist Charlton Medical Center | Dallas, TX | $321.00 | $52.81 – $314.44 |
| Methodist Dallas Medical Center | Dallas, TX | $321.00 | $52.81 – $314.44 |
| Methodist Mansfield Medical Center | Mansfield, TX | $321.00 | $52.81 – $314.44 |
| Methodist Midlothian Medical Center | Midlothian, TX | $321.00 | $124.61 – $314.44 |
| Methodist Richardson Medical Center | Richardson, TX | $321.00 | $68.81 – $314.44 |
| Methodist Celina Medical Center | Celina, TX | $321.00 | $123.94 – $291.15 |
| Methodist Southlake Medical Center | Souhtlake, TX | $321.00 | $52.81 – $314.44 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $322.40 | $109.38 – $170.85 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $323.60 | $94.76 – $535.50 |
| Aurora Medical Center Bay Area | Marinette, WI | $325.00 | not published |
| Providence Centralia Hospital | Centralia, WA | $326.04 | not published |
| Providence St Peter Hospital | Olympia, WA | $326.04 | not published |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $326.40 | not published |
| OSF Saint Anthony's Health Center | Alton, IL | $326.40 | $321.73 – $321.73 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $326.40 | not published |
| OSF St Joseph Medical Center | Bloomington, IL | $326.40 | not published |
| OSF St Mary Medical Center | Galesburg, IL | $326.40 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $327.60 | not published |
| Aurora Medical Center Washington County | Hartford, WI | $330.00 | not published |
| Providence Mount Carmel Hospital | Colville, WA | $331.80 | not published |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $332.31 | $105.21 – $306.45 |
| Thomas Hospitals | South Charleston, WV | $342.00 | $100.62 – $594.50 |
| St Francis Eastside | Greenville, SC | $345.60 | not published |
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