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Procedure price report · Consultation, evaluation, and preventative care

Office visit, established patient, moderate complexity

CPT 99214the billing code this page is about

An office or outpatient visit for a patient already seen by the practice, at a moderate level of complexity, typically about 30 to 39 minutes of the clinician's time on that day.

Hospitals typically charge $157 cash for this outpatient procedure — the median across 2,758 hospitals that filed a usable cash price; the average of the middle 60% is $166. Most fall between $84 and $296 (20th–80th percentile).

Hospitals
2,758
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,758 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$59$95$157$259$450

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($59 vs $450).

How the prices are spread

$42 – $55: 106 hospitals$42$55 – $73: 186 hospitals$73 – $96: 291 hospitals$73$96 – $127: 344 hospitals$127 – $168: 416 hospitals$127$168 – $221: 406 hospitals$221 – $292: 312 hospitals$221$292 – $386: 234 hospitals$386 – $510: 100 hospitals$386$510 – $674: 94 hospitals$510median $157price bands are equal on a log scale
Hospitals per price band (2,489 of 2,758 — the bands cover the 5th to 95th percentile)
FromToHospitals
$42$55106
$55$73186
$73$96291
$96$127344
$127$168416
$168$221406
$221$292312
$292$386234
$386$510100
$510$67494

By state

The median cash price in each state, against the national median of $157.

Alaska: median $251 across 16 hospitalsAK$251Maine: median $75 across 26 hospitalsME$75Vermont: median $165 across 13 hospitalsVT$165New Hampshire: median $89 across 24 hospitalsNH$89Washington: median $176 across 63 hospitalsWA$176Idaho: median $216 across 22 hospitalsID$216Montana: median $136 across 26 hospitalsMT$136North Dakota: median $258 across 25 hospitalsND$258Minnesota: median $115 across 106 hospitalsMN$115Illinois: median $165 across 121 hospitalsIL$165Wisconsin: median $177 across 107 hospitalsWI$177Michigan: median $116 across 79 hospitalsMI$116New York: median $192 across 105 hospitalsNY$192Massachusetts: median $220 across 50 hospitalsMA$220Oregon: median $180 across 55 hospitalsOR$180Nevada: median $226 across 17 hospitalsNV$226Wyoming: median $169 across 14 hospitalsWY$169South Dakota: median $183 across 39 hospitalsSD$183Iowa: median $151 across 93 hospitalsIA$151Indiana: median $75 across 82 hospitalsIN$75Ohio: median $128 across 100 hospitalsOH$128Pennsylvania: median $168 across 100 hospitalsPA$168New Jersey: median $119 across 37 hospitalsNJ$119Connecticut: median $184 across 19 hospitalsCT$184Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $202 across 112 hospitalsCA$202Utah: median $295 across 36 hospitalsUT$295Colorado: median $181 across 42 hospitalsCO$181Nebraska: median $171 across 78 hospitalsNE$171Missouri: median $132 across 62 hospitalsMO$132Kentucky: median $123 across 49 hospitalsKY$123West Virginia: median $97 across 39 hospitalsWV$97Virginia: median $143 across 46 hospitalsVA$143Maryland: median $214 across 41 hospitalsMD$214Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $179 across 42 hospitalsAZ$179New Mexico: median $196 across 12 hospitalsNM$196Kansas: median $112 across 86 hospitalsKS$112Arkansas: median $125 across 30 hospitalsAR$125Tennessee: median $68 across 61 hospitalsTN$68North Carolina: median $178 across 56 hospitalsNC$178South Carolina: median $146 across 50 hospitalsSC$146Oklahoma: median $102 across 58 hospitalsOK$102Louisiana: median $68 across 38 hospitalsLA$68Mississippi: median $98 across 44 hospitalsMS$98Alabama: median $141 across 34 hospitalsAL$141Georgia: median $168 across 92 hospitalsGA$168Hawaii: median $244 across 15 hospitalsHI$244Texas: median $177 across 155 hospitalsTX$177Florida: median $447 across 126 hospitalsFL$447
Cash price by state, most expensive first. National median $157. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL126$447+186%$135 – $1,030
Utah UT36$295+88%$194 – $456
North Dakota ND25$258+65%$108 – $332
Alaska AK16$251+60%$179 – $398
Hawaii HI15$244+56%$97 – $324
Nevada NV17$226+44%$149 – $580
Massachusetts MA50$220+41%$163 – $322
Idaho ID22$216+38%$103 – $354
Maryland MD41$214+37%$146 – $307
California CA112$202+29%$96 – $353
New Mexico NM12$196+25%$160 – $277
New York NY105$192+23%$84 – $354
Connecticut CT19$184+18%$92 – $334
South Dakota SD39$183+17%$116 – $317
Colorado CO42$181+15%$119 – $530
Oregon OR55$180+15%$112 – $278
Arizona AZ42$179+14%$94 – $240
North Carolina NC56$178+14%$90 – $342
Wisconsin WI107$177+13%$95 – $267
Texas TX155$177+13%$117 – $351
Washington WA63$176+13%$120 – $246
Nebraska NE78$171+9%$96 – $241
Wyoming WY14$169+8%$69 – $240
Georgia GA92$168+7%$94 – $293
Pennsylvania PA100$168+7%$83 – $272
Vermont VT13$165+5%$85 – $285
Illinois IL121$165+5%$113 – $293
Iowa IA93$151−3%$55 – $192
South Carolina SC50$146−7%$67 – $392
Virginia VA46$143−8%$105 – $248
Alabama AL34$141−10%$71 – $513
Montana MT26$136−13%$75 – $244
Missouri MO62$132−16%$81 – $229
Ohio OH100$128−19%$96 – $194
Arkansas AR30$125−20%$71 – $133
Kentucky KY49$123−22%$67 – $266
New Jersey NJ37$119−24%$112 – $570
Michigan MI79$116−26%$69 – $206
Minnesota MN106$115−26%$85 – $218
Kansas KS86$112−29%$78 – $199
Oklahoma OK58$102−35%$78 – $213
Mississippi MS44$98−38%$65 – $140
West Virginia WV39$97−38%$63 – $162
New Hampshire NH24$89−43%$55 – $469
Indiana IN82$75−52%$49 – $192
Maine ME26$75−52%$48 – $204
Louisiana LA38$68−57%$39 – $169
Tennessee TN61$68−57%$42 – $276
Rhode Island RI9not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $157.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,800$165$89 – $340
Children’s60$222$122 – $319
Critical access893$137$76 – $230
Ownership
For-profit299$306$119 – $897
Government574$134$75 – $237
Non-profit1,880$156$83 – $280
System affiliation
Part of a system2,202$163$86 – $315
Independent556$140$80 – $246

Cash price vs list price

Median list price (chargemaster)$253
Median cash price$157
Cash as a share of list, median hospital66%

At the typical hospital, asking for the cash price cuts the list price by about 34%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,777 hospitals filed a usable inpatient cash price for this code. The median is $163 and the average of the middle 60% is $170; most fall between $87 and $289.

Cash price percentiles, inpatient, across 1,777 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$61$97$163$263$398

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($61 vs $398).

Of the 1,899 hospitals that filed this code inpatient, 1,777 gave a usable cash price; 21 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 99 a list price only.

How complete is this

2,758 of the 3,956 hospitals with a price file in our corpus (70%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,970 hospitals that filed this code at all gave us
Usable cash price — counted2,758
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded162
Hospitals that filed this code2,970

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as Office/Outpatient Established Mod Mdm 30 Min.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Office visit, established patient, moderate complexity (CPT 99214) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99214-office-visit-established-patient-moderate-complexity