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
UPMC Horizon-Greenville Greenville, PA $526.20 $123.42 – $277.73
UPMC Jameson New Castle, PA $526.20 $29.68 – $241.01
UPMC Northwest Seneca, PA $526.20 $129.29 – $241.01
Baptist Hospital MIAMI, FL $526.50 $12.11 – $173.17
OSF Saint Paul Medical Center Mendota, IL $546.40 not published
Mid Coast Hospital Brunswick, ME $551.30 $125.85 – $332.02
Banner Baywood Medical Center Mesa, AZ $552.83 $26.00 – $97.50
MaineHealth - Memorial Hospital North Conway, NH $556.00 $51.17 – $141.47
HSHS St. Anthony's Memorial Hospital Mattoon, IL $560.16 $229.84 – $229.84
CHRISTUS Health - West Beaumont Beaumont, TX $565.29 $145.00 – $462.76
HSHS St. Mary's Hospital DECATUR, IL $568.80 $229.84 – $313.00
OSF Saint James John W Albrecht Medical Center Pontiac, IL $569.60 not published
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX $572.40 $232.48 – $232.48
Texas Health Hospital Frisco Frisco, TX $572.40 $232.48 – $232.48
CHI Health Plainview Plainview, NE $575.40 $199.65 – $842.32
CHI Health Schuyler Schuyler, NE $582.25 $133.24 – $704.23
Rochester General Hospital Rochester, NY $584.79 $72.00 – $72.00
Newark Wayne Community Hospital Newark, NY $584.79 $155.18 – $323.35
Clifton Springs Hospital and Clinic Clifton Springs, NY $584.79 $52.50 – $255.63
AdventHealth Parker Parker, CO $588.82 $320.33 – $320.33
AdventHealth Littleton Littleton, CO $588.82 $320.33 – $320.33
AdventHealth Porter Denver, CO $588.82 $320.33 – $320.33
AdventHealth Avista Louisville, CO $588.82 $320.33 – $320.33
AdventHealth Castle Rock Castle Rock, CO $588.82 $320.33 – $320.33
UPMC Wellsboro Wellsboro, PA $589.80 $129.29 – $236.04
UPMC Williamsport Williamsport, PA $589.80 $129.29 – $292.12
AdventHealth Polk Columbus, NC $590.00 not published
MEDICAL CITY LAS COLINAS HOSPITAL Irving, TX $592.35 $470.77 – $470.77
CHI St. Vincent Hospital Hot Springs Hot Springs, AR $608.00 $164.48 – $965.00
UPMC McKeesport Mckeesport, PA $621.00 $36.08 – $264.44
Providence Alaska Medical Center Anchorage, AK $627.12 $1,387.54 – $1,387.54
HCA FLORIDA NORTHSIDE HOSPITAL ST PETERSBURG, FL $634.24 $181.45 – $185.27
Providence Seaside Hospital Seaside, OR $640.50 not published
Providence Hood River Memorial Hospital Hood River, OR $640.50 not published
Northwestern Medicine Central DuPage Hospital IL 60190, IL $640.50 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $640.50 not published
Northwestern Medicine Delnor Hospital Geneva, IL $640.50 not published
Northwestern Medicine Kishwaukee Hospital DeKalb, IL $640.50 not published
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL $640.50 not published
Northwestern Medicine Palos Hospital Palos Heights, IL $640.50 not published
Northwestern Medicine McHenry Hospital McHenry, IL $640.50 not published
Northwestern Memorial Hospital Chicago, IL $640.50 not published
OSF Saint Francis Medical Center Peoria, IL $640.80 $219.16 – $219.16
Franklin Memorial Hospital Farmington, ME $655.15 $115.85 – $394.16
UPMC Passavant-McCandless Pittsburgh, PA $663.60 $129.29 – $307.49
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN $663.60 $26.31 – $201.30
Ascension St. Vincent Naab Surgery Center Indianapolis, IN $663.60 $26.31 – $201.30
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN $663.60 $26.31 – $201.30
Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) Carmel, IN $663.60 $26.31 – $201.30
Mercy Medical Center Redding Redding, CA $665.19 $123.00 – $1,285.76

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