US Health Care Costs

Office visit, new patient, level 4

CPT 99204 · Doctor and ER visits · hospital facility charge

At the 102 hospitals whose price files we have read so far, the typical cash price is $313, and most charge between $134 and $1,356 (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

$313typical cash price
$289typical commercial insurer rate
$575typical list price
102hospitals in 28 states so far
Typical cash price by state
AKMEWIVTNHWA$326IDMTNDMN$55IL$291MI$168NY$288MA$502ORNV$1.9kWYSDIAIN$71OH$113PA$583NJ$158CT$372RICA$476UT$293CONE$128MO$163KY$138WVVA$929MDDE$271AZ$476NMKSARTN$75NCSC$225DCOK$127LAMSAL$363GA$221HITX$607FL$476PR

Every state

StateHospitalsTypical cash priceLowest cashHighest cashTypical insurer price
Alabama1$363$363$363$169
Arizona1$476$476$476$440
California6$476$148$2,279$410
Connecticut1$372$372$372$208
Delaware1$271$271$271–
Florida8$476$142$2,692$132
Georgia6$221$154$1,038$215
Illinois6$291$185$438$218
Indiana2$71$71$71$177
Kentucky1$138$138$138$298
Massachusetts3$502$397$502$468
Michigan3$168$168$168$138
Minnesota1$55$55$55$502
Missouri2$163$163$163$189
North Carolina3–––$211
Nebraska1$128$128$128$231
New Jersey8$158$145$158$555
Nevada1$1,893$1,893$1,893$240
New York1$288$288$288$311
Ohio4$113$85$541$289
Oklahoma3$127$104$201$169
Pennsylvania6$583$359$807$140
South Carolina4$225$224$1,689$191
Tennessee1$75$75$75$126
Texas19$607$313$5,025$409
Utah2$293$222$363$299
Virginia5$929$484$1,374$167
Washington2$326$326$326$225
102 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, new patient, level 4 cost at a hospital?

At 77 hospitals that publish a cash price, the typical price for office visit, new patient, level 4 is $313, and most charge between $134 and $1,356. The typical rate commercial insurers have negotiated is $289. 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, new patient, level 4?

At 14 of the 54 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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