How much does a Extended office visit (prolonged) typically cost in the United States?

Across 736 U.S. hospitals in 48 states, the modeled national fair BaseRate for Extended office visit (prolonged) is $35, with most hospital negotiated prices falling between $27 and $57.

Why do hospital prices for Extended office visit (prolonged) vary across facilities?

Commercial rates are negotiated individually between hospital systems and insurers, creating wide local dispersion even within the same metro area. Comparing facility-specific cash and in-network rates before scheduling care helps avoid overpaying.

National price data · 736 hospitals

Extended office visit (prolonged) cost

What a extended office visit (prolonged) costs across the U.S. — and the fair price to aim for.

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Englewood Hospital and Medical Center maintains elevated commercial insurance contracts (1.24× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 90% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#38 of 52 in NJ · 71st State Percentile#2,111 of 3,385 in U.S. · 62nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 90% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 78% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (30.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 1.05× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.6× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 17.9× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.85× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 0.94× · Q50 1.05× · Q75 1.14×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.6× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.6× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

90% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · Extended office visit (prolonged)

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State

AK1.15× 1.8× Med ME1.27× 1.2× Med WA1.03× 1.0× Med ID0.85× 0.8× Med MT1.48× 1.4× Med ND1.27× 1.2× Med MN0.94× 0.9× Med WI0.91× 0.9× Med MI0.94× 0.9× Med VT1.00× 1.0× Med NH1.09× 1.1× Med OR1.39× 1.4× Med NV1.21× 1.2× Med WY0.97× 0.9× Med SD1.00× 1.0× Med IA1.09× 1.1× Med IL1.03× 1.0× Med IN0.85× 0.8× Med OH1.64× 1.6× Med PA1.00× 1.0× Med NY1.00× 1.0× Med MA0.85× 0.8× Med CA1.21× 1.2× Med UT0.94× 0.9× Med CO0.97× 0.9× Med NE1.06× 1.0× Med MO0.97× 0.9× Med KY1.00× 1.0× Med WV0.91× 0.9× Med VA0.88× 0.9× Med MD1.82× 1.8× Med NJ0.82× 0.8× Med CT1.42× 1.4× Med AZ0.94× 0.9× Med NM1.10× 2.0× Med KS0.85× 0.8× Med AR0.76× 0.7× Med TN1.18× 1.1× Med NC1.03× 1.0× Med SC0.91× 0.9× Med DE1.21× 2.3× Med DC1.31× 1.9× Med RI1.40× 1.6× Med OK1.03× 1.0× Med LA0.95× 1.4× Med MS0.85× 0.8× Med AL0.97× 0.9× Med GA0.91× 0.9× Med HI0.91× 0.9× Med TX1.09× 1.1× Med FL0.94× 0.9× Med PR0.77× 1.1× Med

AR0.76×0.7× Med PR0.77×1.1× Med NJ0.82×0.8× Med ID0.85×0.8× Med IN0.85×0.8× Med KS0.85×0.8× Med MA0.85×0.8× Med MS0.85×0.8× Med VA0.88×0.9× Med GA0.91×0.9× Med HI0.91×0.9× Med SC0.91×0.9× Med WI0.91×0.9× Med WV0.91×0.9× Med AZ0.94×0.9× Med FL0.94×0.9× Med MI0.94×0.9× Med MN0.94×0.9× Med UT0.94×0.9× Med LA0.95×1.4× Med AL0.97×0.9× Med CO0.97×0.9× Med MO0.97×0.9× Med WY0.97×0.9× Med KY1.00×1.0× Med NY1.00×1.0× Med PA1.00×1.0× Med SD1.00×1.0× Med VT1.00×1.0× Med IL1.03×1.0× Med NC1.03×1.0× Med OK1.03×1.0× Med WA1.03×1.0× Med NE1.06×1.0× Med IA1.09×1.1× Med NH1.09×1.1× Med TX1.09×1.1× Med NM1.10×2.0× Med AK1.15×1.8× Med TN1.18×1.1× Med CA1.21×1.2× Med DE1.21×2.3× Med NV1.21×1.2× Med ME1.27×1.2× Med ND1.27×1.2× Med DC1.31×1.9× Med OR1.39×1.4× Med RI1.40×1.6× Med CT1.42×1.4× Med MT1.48×1.4× Med OH1.64×1.6× Med MD1.82×1.8× Med

5 Lowest-Price States (Confounder-Isolated Value Leaders)

AR0.76×(0.7×)PR0.77×(1.1×)NJ0.82×(0.8×)ID0.85×(0.8×)IN0.85×(0.8×)

5 Highest-Markup States (Strict Bill Audit Recommended)

MD1.82×(1.8×)OH1.64×(1.6×)MT1.48×(1.4×)CT1.42×(1.4×)RI1.40×(1.6×)

The BaseRate high confidence

$35

the fair national price for a extended office visit (prolonged)

typically $27–$57 across 736 hospitals · how we calculate it

modeled estimate · not a bill or quote

736

hospitals priced

states

2.1×

price spread — where shopping matters

1×

vs. Medicare

Across 736 hospitals in 48 states, a extended office visit (prolonged) has a fair BaseRate of $35 and typically costs $27–$57. The cheapest state is AR; the priciest is OH.

Cheapest hospitals for a extended office visit (prolonged)

Extended office visit (prolonged) cost by state

AL $32 4 hospitals AR $25 5 hospitals AZ $31 12 hospitals CA $40 24 hospitals CO $32 30 hospitals CT $47 9 hospitals FL $31 24 hospitals GA $30 11 hospitals HI $30 9 hospitals IA $36 39 hospitals ID $28 7 hospitals IL $34 28 hospitals IN $28 12 hospitals KS $28 9 hospitals KY $33 7 hospitals MA $28 2 hospitals MD $60 2 hospitals ME $42 16 hospitals MI $31 39 hospitals MN $31 38 hospitals MO $32 13 hospitals MS $28 7 hospitals MT $49 3 hospitals NC $34 18 hospitals ND $42 6 hospitals NE $35 14 hospitals NH $36 4 hospitals NJ $27 28 hospitals NV $40 5 hospitals NY $33 59 hospitals OH $54 41 hospitals OK $34 7 hospitals OR $46 11 hospitals PA $33 26 hospitals SC $30 7 hospitals SD $33 7 hospitals TN $39 8 hospitals TX $36 52 hospitals UT $31 22 hospitals VA $29 5 hospitals VT $33 9 hospitals WA $34 11 hospitals WI $30 32 hospitals WV $30 8 hospitals WY $32 3 hospitals

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $35

Medicare Rate $20

Self-Pay Cash Request Quote

Insurer Median $33

1. Amount on Your Bill or Quote ($) Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $29 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $29

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $29).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$44 Above Fair BaseRate

Negotiate Toward $35 Fair BaseRate ($20 Medicare)

Your bill ($79) is $44 above the denoised Fair BaseRate ($35) and 4.0× the $20 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.