US Health Care Costs

Office visit, established patient, level 4

CPT 99214 · Doctor and ER visits · hospital facility charge

At the 106 hospitals whose price files we have read so far, the typical cash price is $289, and most charge between $115 and $1,098 (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

$289typical cash price
$231typical commercial insurer rate
$444typical list price
106hospitals in 31 states so far
Typical cash price by state
AKMEWIVTNHWA$176ID$443MTNDMN$88IL$260MI$120NY$392MA$317OR$493NV$1.6kWYSDIAIN$64OH$122PA$402NJ$115CT$497RICA$371UT$397CONE$143MO$131KY$101WVVA$583MD$263DE$271AZ$342NMKSARTN$75NCSC$199DCOK$103LAMSAL$297GA$183HITX$495FL$443PR

Every state

StateHospitalsTypical cash priceLowest cashHighest cashTypical insurer price
Alabama1$297$297$297$172
Arizona1$342$342$342$321
California6$371$93$2,142$282
Connecticut1$497$497$497$246
Delaware1$271$271$271–
Florida8$443$152$1,965$128
Georgia6$183$133$626$186
Idaho2$443$443$443$354
Illinois6$260$185$725$219
Indiana2$64$64$64$140
Kentucky1$101$101$101$218
Massachusetts3$317$244$317$295
Maryland1$263$263$263–
Michigan3$120$120$120$100
Minnesota1$88$88$88$253
Missouri2$131$131$131$149
North Carolina3–––$162
Nebraska1$143$143$143$308
New Jersey8$115$115$117$410
Nevada1$1,552$1,552$1,552$161
New York1$392$392$392$227
Ohio4$122$53$487$210
Oklahoma3$103$89$131$194
Oregon1$493$493$493$462
Pennsylvania6$402$359$444$96
South Carolina4$199$195$1,294$148
Tennessee1$75$75$75$112
Texas19$495$289$3,698$258
Utah2$397$337$456$420
Virginia5$583$280$886$102
Washington2$176$176$176$163
106 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 81 hospitals that publish a cash price, the typical price for office visit is $289, and most charge between $115 and $1,098. The typical rate commercial insurers have negotiated is $231. 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 16 of the 57 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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