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 |
|---|---|---|---|
| Love County Health Center | Marietta, OK | $347.00 | $147.66 – $147.66 |
| Pen Bay Medical Center | Rockport, ME | $352.80 | $124.73 – $246.72 |
| Banner Wyoming Medical Center | Casper, WY | $357.00 | $86.67 – $311.37 |
| UPMC Northwest | Seneca, PA | $358.80 | $99.41 – $196.77 |
| Adventhealth Hendersonville | Hendersonville, NC | $361.00 | not published |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $362.70 | $105.50 – $258.45 |
| OSF Saint Anthony Medical Center | Rockford, IL | $363.60 | $174.01 – $174.01 |
| OSF Saint Francis Medical Center | Peoria, IL | $363.60 | $174.01 – $174.01 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $368.50 | $156.39 – $156.39 |
| Spring Harbor Hospital | Westbrook, ME | $370.85 | $126.84 – $322.52 |
| OSF Holy Family Medical Center | Monmouth, IL | $372.00 | not published |
| UPMC Magee | Pittsburgh, PA | $378.60 | $99.41 – $219.29 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $380.82 | $127.40 – $544.40 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $381.60 | $44.16 – $320.35 |
| Providence Newberg Medical Center | Newberg, OR | $383.25 | not published |
| Providence Portland Medical Center | Portland, OR | $383.25 | not published |
| Providence St Vincent Medical Center | Portland, OR | $383.25 | not published |
| Providence Willamette Falls Medical Center | Oregon City, OR | $383.25 | not published |
| Providence Milwaukie Hospital | Milwaukie, OR | $383.25 | not published |
| Mercy Hospital Southeast | Cape Girardeau, MO | $384.80 | $111.49 – $408.23 |
| Mercy Hospital Stoddard | Dexter, MO | $384.80 | $112.05 – $399.77 |
| MercyOne Elkader Medical Center | Elkader, IA | $386.00 | $79.75 – $403.45 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $386.40 | $50.00 – $217.81 |
| UPMC St. Margaret | Pittsburgh, PA | $388.80 | $99.41 – $219.29 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $388.80 | $50.00 – $222.78 |
| Gouverneur Hospital | Gouverneur, NY | $390.13 | $66.04 – $216.28 |
| CHI Health Good Samaritan | Kearney, NE | $391.62 | $134.82 – $597.06 |
| Massena Hospital | Massena, NY | $392.19 | $66.04 – $216.28 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $393.12 | $173.49 – $173.49 |
| Providence Medford Medical Center | Medford, OR | $394.50 | not published |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $395.00 | not published |
| Canton-Potsdam Hospital | Potsdam, NY | $397.79 | $102.08 – $216.28 |
| UPMC Western Psychiatric | Pittsburgh, PA | $400.80 | $121.78 – $121.78 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $408.00 | $20.23 – $162.17 |
| MaineHealth - Memorial Hospital | North Conway, NH | $410.50 | $40.95 – $113.22 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $412.56 | $146.00 – $173.49 |
| Childrens Specialized Hospital | Mountainside, NJ | $413.50 | $261.30 – $261.30 |
| Uniontown Hospital | Uniontown, PA | $418.50 | $99.41 – $238.15 |
| CHI Health St. Mary's | Nebraska City, NE | $419.98 | $100.68 – $451.20 |
| UPMC Cole | Coudersport, PA | $420.00 | $61.30 – $300.00 |
| UPMC Wellsboro | Wellsboro, PA | $421.20 | $99.41 – $193.76 |
| UPMC Williamsport | Williamsport, PA | $421.20 | $99.41 – $242.24 |
| UPMC East | Monroeville, PA | $425.40 | $36.08 – $567.20 |
| UPMC Horizon-Greenville | Greenville, PA | $433.80 | $94.89 – $233.73 |
| UPMC Jameson | New Castle, PA | $433.80 | $27.66 – $196.77 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $435.20 | not published |
| OSF Saint Paul Medical Center | Mendota, IL | $437.60 | not published |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $438.20 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $438.20 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $438.20 | 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