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 |
|---|---|---|---|
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $438.20 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $438.20 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $438.20 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $438.20 | not published |
| Northwestern Memorial Hospital | Chicago, IL | $438.20 | not published |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | $438.67 | $360.75 – $360.75 |
| Rochester General Hospital | Rochester, NY | $443.20 | $72.00 – $72.00 |
| Newark Wayne Community Hospital | Newark, NY | $443.20 | $113.42 – $236.33 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $443.20 | $43.25 – $202.20 |
| Mid Coast Hospital | Brunswick, ME | $445.65 | $125.85 – $270.44 |
| Banner Baywood Medical Center | Mesa, AZ | $449.76 | $22.00 – $82.50 |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $454.00 | $100.00 – $965.00 |
| HSHS St. Mary's Hospital | DECATUR, IL | $460.80 | $173.49 – $313.00 |
| Providence Alaska Medical Center | Anchorage, AK | $462.54 | $1,023.42 – $1,023.42 |
| CHI Health Plainview | Plainview, NE | $464.52 | $147.27 – $636.48 |
| Grant Memorial Hospital | Petersburg, WV | $467.20 | not published |
| Providence Valdez Medical Center | Valdez, AK | $468.78 | not published |
| CHI Health Schuyler | Schuyler, NE | $470.05 | $100.68 – $532.14 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $481.25 | $204.47 – $234.30 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $484.35 | $178.14 – $178.14 |
| Texas Health Hospital Frisco | Frisco, TX | $484.35 | $178.14 – $178.14 |
| Providence Seaside Hospital | Seaside, OR | $484.50 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $484.50 | not published |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $485.40 | $20.23 – $162.17 |
| AdventHealth Polk | Columbus, NC | $486.94 | not published |
| Baptist Hospital | MIAMI, FL | $498.55 | $10.90 – $173.17 |
| Aurora Baycare Medical Center | Green Bay, WI | $500.00 | not published |
| Stephens Memorial Hospital | Norway, ME | $502.75 | $129.76 – $322.52 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $505.20 | $20.23 – $162.17 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $505.20 | $20.23 – $162.17 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $505.20 | $20.23 – $162.17 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $506.22 | $145.00 – $367.10 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $507.65 | $74.55 – $386.00 |
| UPMC McKeesport | Mckeesport, PA | $510.00 | $36.08 – $219.29 |
| Mary Immaculate Hospital | Newport News, VA | $514.80 | not published |
| Maryview Hospital | Portsmouth, VA | $514.80 | not published |
| Harbour View Medical Center | Suffolk, VA | $514.80 | not published |
| AdventHealth Parker | Parker, CO | $529.82 | $235.43 – $235.43 |
| AdventHealth Littleton | Littleton, CO | $529.82 | $235.43 – $235.43 |
| AdventHealth Porter | Denver, CO | $529.82 | $235.43 – $235.43 |
| AdventHealth Avista | Louisville, CO | $529.82 | $235.43 – $235.43 |
| AdventHealth Castle Rock | Castle Rock, CO | $529.82 | $235.43 – $235.43 |
| Franklin Memorial Hospital | Farmington, ME | $540.60 | $115.85 – $298.76 |
| Urbana Hospital | Urbana, OH | $544.80 | not published |
| The Unity Hospital of Rochester | Rochester, NY | $545.47 | $109.59 – $109.59 |
| CHI Health St. Francis | Grand Island, NE | $549.88 | $214.36 – $876.08 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | $561.82 | $139.65 – $142.59 |
| Ogallala Community Hospital | Ogallala, NE | $566.69 | $144.76 – $319.13 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $567.36 | $173.49 – $173.49 |
| HSHS Holy Family Hospital | GREENVILLE, IL | $567.36 | $146.00 – $146.00 |
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