New Patient Office Visit (level 5) cost at US hospitals

Office visit, new patient, high complexity · CPT 99205

What is New Patient Office Visit (level 5)? Read the full explainer →

New Patient Office Visit (level 5)

This is the highest new patient office visit level: a first appointment for a problem serious or unstable enough that the decisions carry real risk. It usually means extensive data reviewed, an urgent plan made, and sometimes a decision about hospital care taken in the room. It is billed far less often than the levels below it.

$43.00

lowest cash price

$355.80

national median

$3,495.01

highest cash price

588

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $43.00–$3,495.01 — the variation is the story.

Cheapest published cash price

$43.00

MUSC Health Black River Medical Center — Cades, SC

Most expensive published cash price

$3,495.01

Banner Churchill Community Hospital — Fallon, NV

Median cash price over time

Aug 1, 2025 ($465.85) → Sep 1, 2026 ($634.24)

By state

State Hospitals Lowest cash Median Highest
Alaska 3 $489.84 $489.84 $627.12
Arizona 19 $126.38 $2,573.88 $3,449.64
Arkansas 10 $89.25 $291.85 $608.00
California 40 $59.25 $207.34 $2,083.05
Colorado 10 $588.82 $588.82 $1,237.82
Florida 73 $313.67 $964.30 $2,843.00
Georgia 23 $240.24 $287.72 $1,512.72
Hawaii 1 $114.88 $114.88 $114.88
Illinois 47 $166.25 $427.20 $906.48
Indiana 19 $70.70 $663.60 $819.60
Iowa 28 $256.80 $367.20 $488.00
Kansas 9 $277.55 $1,020.46 $1,020.46
Kentucky 14 $208.40 $336.88 $940.20
Louisiana 2 $264.94 $264.94 $264.94
Maine 7 $392.80 $655.15 $962.80
Maryland 1 $175.80 $175.80 $175.80
Michigan 19 $147.28 $221.37 $231.11
Minnesota 4 $320.80 $328.00 $1,170.40
Mississippi 10 $87.78 $182.62 $356.42
Missouri 19 $185.25 $322.85 $420.20
Montana 2 $305.60 $305.60 $331.20
Nebraska 13 $325.92 $388.50 $759.36
Nevada 3 $181.22 $200.67 $3,495.01
New Hampshire 1 $556.00 $556.00 $556.00
New Jersey 22 $104.36 $168.11 $488.50
New York 22 $217.80 $584.79 $1,014.00
North Carolina 14 $379.00 $379.00 $590.00
North Dakota 2 $329.60 $329.60 $376.00
Ohio 31 $70.50 $152.75 $910.00
Oklahoma 17 $274.95 $349.70 $996.36
Oregon 9 $283.20 $521.25 $640.50
Pennsylvania 27 $187.00 $516.00 $814.80
South Carolina 10 $43.00 $264.00 $943.50
South Dakota 3 $302.40 $390.40 $962.40
Tennessee 33 $64.17 $110.40 $1,114.54
Texas 87 $147.00 $367.50 $2,663.05
Virginia 20 $64.17 $363.30 $717.00
Washington 24 $72.42 $271.96 $410.90
West Virginia 13 $64.50 $198.00 $326.50
Wisconsin 30 $144.24 $347.82 $1,484.31
Wyoming 4 $477.54 $1,427.33 $1,509.31

All hospitals

Hospital Location Cash price Negotiated range
Tiffin Hospital Tiffin, OH $126.00 not published
Banner University Medical Center South Tucson, AZ $126.38 $54.54 – $300.00
CHI St. Vincent Morrilton Morrilton, AR $131.43 $129.17 – $227.00
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $132.59 $126.02 – $126.02
WILLITS HOSPITAL INC Willits, CA $132.60 $82.70 – $407.41
26-1214372 NEA Baptist Jonesboro, AR $133.00 $164.48 – $295.35
62-1138045 BMH Union City Union City, TN $134.60 $146.79 – $146.79
64-0881013 MBMC Jackson Jackson, MS $136.29 $122.15 – $154.13
Robert Wood Johnson University Hospital Somerset Somerville, NJ $136.72 $123.78 – $126.02
62-1166050 BMH Carroll County Huntingdon, TN $136.85 $105.04 – $146.79
SONORA COMMUNITY HOSPITAL Sonora, CA $139.74 $82.70 – $323.48
Banner Boswell Medical Center Sun City, AZ $142.28 $54.54 – $472.00
Willard Hospital Willard, OH $143.40 not published
Ascension St. Francis Hospital, Inc. Milwaukee, WI $144.24 $209.02 – $548.55
Woodland Memorial Hospital Woodland, CA $146.05 $58.63 – $533.00
Mercy San Juan Medical Center Carmichael, CA $146.05 $58.63 – $533.00
Covenant Hospital Plainview Plainview, TX $147.00 $361.21 – $370.45
Covenant Hospital Levelland Levelland, TX $147.00 $370.45 – $409.14
Henry Ford St John Hospital Detroit, MI $147.28 $107.15 – $241.84
Henry Ford Warren Hospital Warren, MI $147.28 $107.15 – $241.84
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI $151.58 $209.02 – $493.65
Trinitas Regional Medical Center Elizabeth, NJ $151.84 $116.90 – $126.02
fairview hospital Cleveland, OH $152.75 $0.01 – $280.16
avon hospital Avon, OH $152.75 $0.01 – $211.50
euclid hospital Euclid, OH $152.75 $0.01 – $211.50
lutheran hospital Cleveland, OH $152.75 $0.01 – $280.16
hillcrest hospital Mayfield Heights, OH $152.75 $0.01 – $211.50
marymount hospital Garfield Heights, OH $152.75 $0.01 – $280.16
medina hospital Medina, OH $152.75 $0.01 – $211.50
south pointe hospital Warrensville Heights, OH $152.75 $0.01 – $280.16
Methodist Hospital of Sacramento Sacramento, CA $153.51 $96.00 – $533.00
64-0362400 Anderson Regional South Campus Meridian, MS $159.60 $122.15 – $146.79
Clara Maass Medical Center Belleville, NJ $160.91 $126.02 – $126.02
Redwood Memorial Hospital Fortuna, CA $164.73 not published
St Francis Medical Center Midlothian, VA $165.60 not published
Richmond Community Hospital Richmond, VA $165.60 not published
Uchicago Medicine Adventhealth Glenoaks Glendale Heights, IL $166.25 not published
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL $166.25 not published
Uchicago Medicine Adventhealth La Grange La Grange, IL $166.25 not published
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL $166.25 not published
Community Medical Center Toms River, NJ $167.78 $126.02 – $126.02
Jersey City Medical Center Jersey City, NJ $168.11 $126.02 – $151.29
Newark Beth Israel Medical Center Newark, NJ $168.51 $120.34 – $126.02
SSM Health St. Clare Hospital - Baraboo Baraboo, WI $169.40 not published
Cooperman Barnabas Medical Center Livingston, NJ $171.42 $126.02 – $126.02
Robert Wood Johnson University Hospital New Brunswick, NJ $172.55 $16.54 – $126.02
UPMC Western Maryland Cumberland, MD $175.80 $293.00 – $293.00
Monmouth Medical Center Long Branch, NJ $177.00 $126.02 – $126.02
TWIN CITIES COMMUNITY HOSPITAL Templeton, CA $178.99 $161.10 – $1,034.80
San Martin Hospital Las Vegas, NV $181.22 $156.48 – $609.96

Related office visits procedures