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
Memorial Regional Hospital Mechanicsville, VA $408.60 not published
Providence Mount Carmel Hospital Colville, WA $410.90 not published
CHI Memorial Hospital Chattanooga Chattanooga, TN $411.16 $94.76 – $680.40
WellSpan Good Samaritan Hospital Lebanon, PA $413.60 $50.00 – $222.78
MUSC Health Lancaster Medical Center Lancaster, SC $416.00 $225.41 – $225.41
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $417.75 $35.00 – $409.54
SSM Health Saint Louis University Hospital Saint Louis, MO $420.20 $203.31 – $203.31
Aurora Medical Center Fond du Lac Fond Du Lac, WI $422.50 not published
OSF Sacred Heart Medical Center – Urbana Danville, IL $427.20 not published
OSF Saint Anthony's Health Center Alton, IL $427.20 $443.73 – $443.73
OSF Saint Elizabeth Medical Center Ottawa, IL $427.20 not published
OSF St Joseph Medical Center Bloomington, IL $427.20 not published
OSF St Mary Medical Center Galesburg, IL $427.20 not published
Ascension Via Christi Hospital Manhattan, Inc Manhattan, KS $432.00 $140.72 – $227.27
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola, FL $433.20 $171.42 – $171.42
St Francis Eastside Greenville, SC $442.80 not published
Love County Health Center Marietta, OK $454.00 $194.93 – $194.93
UPMC Magee Pittsburgh, PA $456.60 $129.29 – $264.44
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI $460.00 not published
Spring Harbor Hospital Westbrook, ME $465.85 $172.48 – $425.31
OSF Little Company of Mary Medical Center Evergreen Park, IL $466.20 not published
UPMC St. Margaret Pittsburgh, PA $468.00 $129.29 – $264.44
OSF Saint Anthony Medical Center Rockford, IL $475.20 $219.16 – $219.16
Banner Wyoming Medical Center Casper, WY $477.54 $117.45 – $421.95
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $481.25 $277.89 – $309.61
OSF Holy Family Medical Center Monmouth, IL $486.40 not published
MercyOne Centerville Medical Center Centerville, IA $488.00 $93.00 – $488.00
Childrens Specialized Hospital Mountainside, NJ $488.50 $344.63 – $344.63
Providence Valdez Medical Center Valdez, AK $489.84 not published
Sequoia Hospital Redwood City, CA $491.40 $144.00 – $18,445.00
CHRISTUS Santa Rosa Emergency Center - Alon San Antonio, TX $492.03 $128.00 – $386.30
Aurora Medical Center Sheboygan County Sheboygan, WI $495.00 not published
Mercy Hospital Oklahoma City Oklahoma City, OK $497.25 $12.00 – $345.01
UnityPoint Health - Meriter Hospital Madison, WI $497.60 $57.50 – $435.10
Ascension Seton Cedar Park Hospital Cedar Park, TX $500.68 $166.28 – $710.44
UPMC Western Psychiatric Pittsburgh, PA $505.80 $147.82 – $147.82
Gouverneur Hospital Gouverneur, NY $514.76 $76.97 – $272.05
HSHS St. Joseph's Hospital HIGHLAND, IL $515.52 $146.00 – $229.84
UPMC East Monroeville, PA $516.00 $36.08 – $688.00
CHI Health St. Mary's Nebraska City, NE $517.09 $133.24 – $597.12
Massena Hospital Massena, NY $517.48 $76.97 – $272.05
St. Bernardine Medical Center San Bernardino, CA $517.82 $119.00 – $1,275.10
Providence Newberg Medical Center Newberg, OR $521.25 not published
Providence Portland Medical Center Portland, OR $521.25 not published
Providence St Vincent Medical Center Portland, OR $521.25 not published
Providence Willamette Falls Medical Center Oregon City, OR $521.25 not published
Providence Milwaukie Hospital Milwaukie, OR $521.25 not published
Canton-Potsdam Hospital Potsdam, NY $524.87 $139.66 – $272.05
Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) Anderson, IN $525.60 $26.31 – $201.30
UPMC Cole Coudersport, PA $526.20 $65.78 – $385.60

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