Doctor visits and therapy CPT 99204 Inpatient — admitted to hospital

New patient office visit, about 45 minutes in Boston-Cambridge-Newton, MA-NH — inpatient

In Boston-Cambridge-Newton, MA-NH, 7 hospitals list a cash price for New patient office visit, about 45 minutes as an inpatient: from $143.83 to $476.55, with a median of $221.90. The lowest listed price is at Boston Medical Center South.

Cash prices at 7 facilities across 5 cities for code 99204, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$143.83Boston Medical Center South
Median$221.90half pay less
Highest$476.55in this market
Difference3.3×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.

median
Lowest $143.83Highest $476.55

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Boston Medical Center South lowest Brockton, MA HC Office Outpatient New 45 Mins Met or Exceeded $143.83 $319.63 55%
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Cambridge Health Alliance Cambridge, MA HC New Pt Office Visit Level 4 $190.00 $190.00
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Boston Medical Center Brighton Boston, MA HC Office Outpatient New 45 Mins Met or Exceeded $191.42 $425.37 55%
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Lowell General Hospital Lowell, MA HC Office O/P New Pt Level 4 $213.50 $305.00 30%
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Melrosewakefield Healthcare Melrose, MA HC Office O/P New Pt Level 4 $230.30 $329.00 30%
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Tufts Medical Center Boston, MA HC Office O/P New Pt Level 4 $395.50 $565.00 30%
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Boston Medical Center Boston, MA HC Office Outpatient New 45 Minutes $476.55 $1,059.00 55%
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Boston Medical Center Boston, MA HC Office Outpatient New 45 Mins Met or Exceeded $476.55 $1,059.00 55%
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Inpatient: lowest $143.83, median $221.90, highest $476.55 — a 3.3× difference within the same market.

As an outpatient, the same code is billed by 8 facilities here, median $312.90 — that is the price to compare if you are not being admitted.

What it is

This is an office or outpatient visit for a new patient with moderate complexity decision making, or at least 45 minutes of total time on the visit date. It is often used for new problems with several possible causes or chronic conditions.

What the price covers

The price covers the clinician's visit. Tests, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.