New patient office visit, level 3 cost.
What new patient office visit, level 3 costs at 125 US hospitals across 53 metros, pulled from the federally-mandated machine-readable files each hospital is required to publish. Cash-pay range: $23 to $4,697 (204× spread). CPT code 99203.
Top 5 cheapest hospitals for new patient visit (l3).
| # | Hospital | Cash price |
|---|---|---|
| 1 |
Memorial Hermann-Texas Medical Center
Houston, TX
|
$23 to $48 |
| 2 |
Memorial Hermann Southwest Hospital
Houston, TX
|
$23 to $48 |
| 3 |
Memorial Hermann Memorial City Medical Center
Houston, TX
|
$23 to $48 |
| 4 |
Memorial Hermann Sugar Land Hospital
Sugar Land, TX
|
$23 to $48 |
| 5 |
Adventist Health Glendale
Glendale, CA
|
$26 to $164 |
See all 125 hospitals, your insurance, your zip.
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Compare new patient visit (l3) prices →What is new patient office visit, level 3?
First-time office visit, established care, moderate complexity.
A 30-45 minute visit for a new patient with a moderately complex problem. Higher than 99213 because of the time and decision-making for a never-seen patient.
One of the most-billed CPT codes in the country. Hospital-owned outpatient clinics frequently bill 99204 or 99203 at 5-10x the rate of an independent primary care practice.
Why prices vary this much.
The same new patient office visit, level 3 on the same equipment can cost 204 times more at one hospital than another. Three reasons.
Chargemasters are arbitrary. The "sticker price" hospitals publish was never designed for consumers. It's a starting number for negotiation with insurance companies, with adjustments stacked on top for decades. Almost no one pays the chargemaster.
Negotiated rates are confidential bilateral contracts. Each insurance company negotiates its own rate with each hospital. Aetna at Hospital A might pay 60% of what Cigna pays at the same hospital for the same code. You see one rate; the hospital sees dozens.
Cash pay is a separate thing entirely. Many hospitals offer a "self-pay" or "cash-pay" rate that's dramatically cheaper than what they'd bill insurance, especially for elective imaging. If you have a high-deductible plan, paying cash and filing for reimbursement (or just eating the cost) can be the cheapest path.
What to ask the hospital before you book.
The four questions that surface hidden costs:
1. "Is the price you're quoting me the all-in price, or just the facility fee?" Hospitals often quote the facility fee and bill the radiologist or anesthesiologist separately on a different invoice.
2. "What's the cash-pay rate vs the rate you'd bill my insurance?" Don't assume insurance is cheaper. For high-deductible plans, cash pay is often the better deal.
3. "If I'm uninsured, do you have a financial assistance policy I qualify for?" Federally-tax-exempt hospitals are required to have one, and it can knock 50-100% off the bill for households under specific income thresholds.
4. "If I get a bill and the price is different than what was quoted, what's your dispute process?" Get the answer before you book, in writing if possible. If the bill comes in higher than the quote, you have leverage.