US Health Care Costs

Office visit, established patient, level 1 (nurse visit)

CPT 99211 · Doctor and ER visits · hospital facility charge

At the 107 hospitals whose price files we have read so far, the typical cash price is $125, and most charge between $20 and $414 (the middle 80%; price files contain errors, so the extremes are left out). Pick a state to compare its hospitals.

Estimate what you would pay

$125typical cash price
$71typical commercial insurer rate
$234typical list price
107hospitals in 31 states so far
Typical cash price by state

Every state

StateHospitalsTypical cash priceLowest cashHighest cashTypical insurer price
Alabama1$168$168$168$119
Arizona2$189$82$296$62
California8$86$19$1,049$78
Connecticut1$135$135$135$16
Delaware1$141$141$141–
Florida8$226$51$777$70
Georgia5$114$77$266$108
Idaho2$258$258$258$116
Illinois6$93$67$249$130
Indiana2$44$44$44$74
Kentucky1$58$58$58$126
Massachusetts3$131$52$131$74
Maryland1$105$105$105–
Michigan3$11$11$11$58
Minnesota1$22$22$22$69
Missouri2$62$62$62$35
North Carolina3–––$29
Nebraska1$167$167$167$302
New Jersey8$10$10$63$228
Nevada1$782$782$782$42
New York1$98$98$98$39
Ohio4$98$11$189$90
Oklahoma3$82$17$257$135
Oregon1$140$140$140$136
Pennsylvania7$153$38$429$58
South Carolina4$117$113$348$64
Tennessee1$38$38$38$71
Texas20$244$19$2,395$45
Utah2$211$190$232$223
Virginia2$161$75$247$113
Washington2$105$105$105$15
107 hospitals so far: only hospitals whose price files we've read are listed, and more are added every night. The price is the hospital's part; the doctor usually bills separately.

Common questions

How much does office visit cost at a hospital?

At 85 hospitals that publish a cash price, the typical price for office visit is $125, and most charge between $20 and $414. The typical rate commercial insurers have negotiated is $71. These are hospital prices; independent clinics, imaging centers and labs often charge less.

Is it cheaper to pay cash or use insurance for office visit?

At 22 of the 61 hospitals that publish both, the cash price is lower than the typical insurer rate. Remember that with insurance you pay only your share of that rate once your deductible is met, and that cash payments usually don't count toward your deductible.

Does the price include the doctor?

No. These are the hospital's own charges, often called the facility fee. The doctors involved, such as the surgeon, the anesthesiologist or the radiologist who reads a scan, usually send a separate bill.

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