Itemized  ·  Procedures  ·  New patient office visit, level 4

New patient office visit, level 4 cost.

What new patient office visit, level 4 costs at 128 US hospitals across 56 metros, pulled from the federally-mandated machine-readable files each hospital is required to publish. Cash-pay range: $20 to $5,733 (287× spread). CPT code 99204.

Cheapest cash price
$20
Children's Hospital Los Angeles
Los Angeles, CA
vs.
Most expensive cash price
$5,733
Heart Hospital of Austin
Austin, TX

Top 5 cheapest hospitals for new patient visit (l4).

# Hospital Cash price
1
Children's Hospital Los Angeles
Los Angeles, CA
 $20 to $37
2
Memorial Hermann-Texas Medical Center
Houston, TX
 $21 to $140
3
Memorial Hermann Southwest Hospital
Houston, TX
 $21 to $140
4
Memorial Hermann Memorial City Medical Center
Houston, TX
 $21 to $140
5
Memorial Hermann Sugar Land Hospital
Sugar Land, TX
 $21 to $140

See all 128 hospitals, your insurance, your zip.

Pick your insurance plan, enter your zip, see your estimated out-of-pocket cost. Same data, your view.

Compare new patient visit (l4) prices →

What is new patient office visit, level 4?

First-time office visit with extended evaluation.

Higher-acuity new patient visit (45-60 minutes). Used when the new patient has multiple chronic conditions, complicated history, or significant decision-making.

For specialist consultations, 99204 is often the default code. Worth verifying after the visit that the billed level matches what actually happened.

Why prices vary this much.

The same new patient office visit, level 4 on the same equipment can cost 287 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.

Common questions.

How much does new patient office visit, level 4 cost in 2026?+
Cash-pay prices for new patient office visit, level 4 (CPT 99204) range from $20 to $5,733 across the 128 hospitals in our dataset. The price varies by hospital, payer, and whether you pay cash or use insurance. Cash-pay rates are often dramatically cheaper than the rate insurance would pay at the same hospital, which is one of the more uncomfortable truths in this data.
Why does new patient office visit, level 4 cost so much more at some hospitals than others?+
Three reasons. First, hospital chargemasters (the "sticker price") are largely arbitrary and were never designed for consumers. Second, hospitals in expensive real-estate markets (Manhattan, San Francisco, Boston) carry higher facility overhead. Third, the negotiated rate each insurance company pays is the result of confidential bilateral contracts, so the same procedure on the same machine can cost 5x more depending on which insurance card you hand over.
Is the cash price always the cheapest option?+
Not always, but more often than you'd expect. For new patient office visit, level 4 in our dataset, the cash price beats the negotiated insurance rate at many hospitals, especially for patients with high-deductible plans. Always ask the hospital for both numbers before you decide which to use. If you have a low-deductible plan and the procedure is in-network, insurance is usually still cheaper.
What does the published price include?+
For new patient office visit, level 4 (CPT 99204), the published rate generally includes the procedure itself plus the immediately associated facility and professional fees as the hospital has assigned them. It does NOT include separate physician consultations, follow-up visits, prescriptions, or any complications that require additional treatment. Always ask: "Is this the all-in price, or just the facility fee?"
Where does this data come from?+
Federal law (45 CFR 180.50, the Hospital Price Transparency Rule) requires every US hospital to publish a machine-readable file with their negotiated rates and cash prices. We download those files directly from each hospital, parse them, and present them in a comparable format. No surveys, no estimates, no scraped review sites. The data is current as of the latest publication date for each hospital.