Doctor visits and therapy CPT 99204 Outpatient

New patient visit, 45 min cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 49 hospitals list a cash price for new patient office visit, about 45 minutes: from $31.54 to $1,010.00, with a median of $185.00. The lowest listed price is at Gottlieb Memorial Hospital and 1 other hospital — $153.46 less than the median here. Across Illinois, the median is $297.31 at 86 hospitals.

  • The median here, $185.00, is 21% below the US median of $233.40.
  • That is 1.4× Medicare's 2026 national rate for the same service ($136.02).
  • 7 of 49 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 49 facilities across 35 cities for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 6, 2026; the hospital files themselves were last updated between Mar 17, 2025 and Nov 3, 2026.

Lowest$31.54Gottlieb Memorial Hospital + 1 more
Median$185.00half of hospitals charge less
Highest$1,010.00in this market
Difference32.0×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 Chicago-Naperville-Elgin, IL-IN.

median
Lowest $31.54Highest $1,010.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 New Level IV 45-60 Min+1 more line at this price File of Mar 31, 2026 · source file $31.54 $166.00 $70.72–$121.18 81%
MacNeal Hospital lowest Berwyn, IL · (708) 783-9100 New Level IV+1 more line at this price File of Mar 31, 2026 · source file $31.54 $166.00 $31.54–$229.91 81%
Loyola University Medical Center Maywood, IL · (708) 216-9000 New Level IV+1 more line at this price File of Mar 31, 2026 · source file $38.18 $166.00 $166.00–$511.00 77%
Morris Hospital Morris, IL · (815) 942-2932 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more File of Oct 27, 2026 · source file $66.41 $276.00 $120.54–$254.93 76%
Franciscan Health Dyer Dyer, IN · (219) 865-2141 Pace OP Visit E&M of New Patient; Level 4 File of Jan 1, 2026 · source file $82.89 $307.00 $111.17–$230.25 73%
Franciscan Health Rensselaer Rensselaer, IN · (219) 866-5141 Office/Outpatient Visit New-45 Min File of Jan 1, 2026 · source file $84.49 $236.00 $59.00–$226.98 64%
Franciscan Health Munster Munster, IN · (219) 922-4200 OP Visit E&M of New Patient; Level 4 File of Jan 1, 2026 · source file $88.18 $414.00 $137.63–$310.50 79%
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM File of Apr 1, 2026 · source file $100.00 $400.00 — 75%
Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM File of Apr 1, 2026 · source file $100.00 $400.00 — 75%
Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM File of Apr 1, 2026 · source file $100.00 $400.00 — 75%
Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM File of Apr 1, 2026 · source file $100.00 $400.00 — 75%
Humboldt Park Health Chicago, IL · (773) 292-8200 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more File of Sep 29, 2026 · source file $108.78 $388.50 $128.21–$407.93 72%
Franciscan Health Dyer Dyer, IN · (219) 865-2141 OP Visit E&M of New Patient;Level 4 File of Jan 1, 2026 · source file $111.78 $414.00 $140.86–$310.50 73%
Franciscan Health Crown Point Crown Point, IN · (219) 757-6100 OP Visit E&M of New Patient; Level 4 File of Jan 1, 2026 · source file $114.55 $444.00 $444.00 74%
Franciscan Health Crown Point Crown Point, IN · (219) 757-6100 OP Visit E&M of New Patient;Level 4 File of Jan 1, 2026 · source file $117.65 $456.00 $456.00 74%
Franciscan Health Munster Munster, IN · (219) 922-4200 OP Visit E&M of New Patient;Level 4 File of Jan 1, 2026 · source file $120.98 $568.00 $137.63–$426.00 79%
Franciscan Health Rensselaer Rensselaer, IN · (219) 866-5141 OP Visit E&M of New Patient;Level 4 File of Jan 1, 2026 · source file $126.02 $352.00 $88.00–$281.60 64%
Franciscan Health Dyer Dyer, IN · (219) 865-2141 OP Visit E&M of New Patient; Level 4 File of Jan 1, 2026 · source file $145.53 $539.00 $140.86–$404.25 73%
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 SC FACILITY EVAL NEW PATIENT LEVEL 4 99204 BCE File of Mar 17, 2025 · source file $165.92 $488.00 $72.42–$317.20 66%
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 Neurology Visit Patient Levels -> New Pt Level IV+12 more lines at this price File of Mar 17, 2025 · source file $169.32 $498.00 $82.82–$323.70 66%
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 OPWC New PT Visit Level 4 BCE+4 more lines at this price File of Mar 17, 2025 · source file $176.46 $519.00 $77.02–$337.35 66%
Advocate Childrens Hospital Park Ridge Park Ridge, IL OP SERV HIGH ACUITY-NEW PT File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$362.42 50%
Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 OP SERV HIGH ACUITY-NEW PT+1 more line at this price File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$357.85 50%
Advocate Childrens Hospital Oak Lawn Oak Lawn, IL OP SERV HIGH ACUITY-NEW PT File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$362.42 50%
Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 OP SERV HIGH ACUITY-NEW PT+1 more line at this price File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$357.85 50%
Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 OP SERV HIGH ACUITY-NEW PT+1 more line at this price File of Nov 3, 2026 · source file $185.00 $370.00 $95.00–$357.85 50%
Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 OP SERV HIGH ACUITY-NEW PT File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$362.42 50%
Advocate Trinity Hospital Chicago, IL · (773) 967-5002 OP SERV HIGH ACUITY-NEW PT File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$362.42 50%
Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 OP SERV HIGH ACUITY-NEW PT File of Nov 3, 2026 · source file $185.00 $370.00 $105.00–$362.42 50%
Advocate South Suburban Hospital Hazel Crest, IL OP SERV HIGH ACUITY-NEW PT File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$362.42 50%
Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 OP SERV HIGH ACUITY-NEW PT File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$362.42 50%
Advocate Sherman Hospital Elgin, IL · (847) 742-9800 OP SERV HIGH ACUITY-NEW PT File of Nov 3, 2026 · source file $185.00 $370.00 $108.00–$357.85 50%
The Methodist Hospitals Gary, IN · (219) 886-4000 HC O/P Visit New Pt, Level 4, (45+ Min)+1 more line at this price File of Aug 18, 2026 · source file $189.00 $270.00 $0.01–$240.30 30%
Methodist Hospital-Southlake Merrillville, IN · (219) 886-4000 O/P Visit New Pt Level 4+1 more line at this price File of Aug 18, 2026 · source file $189.00 $270.00 $0.01–$240.30 30%
Franciscan Health Rensselaer Rensselaer, IN · (219) 866-5141 OP Visit E&M of New Patient; Level 4 File of Jan 1, 2026 · source file $197.97 $553.00 $138.25–$442.40 64%
La Rabida Children's Hospital Chicago, IL · (773) 363-6700 CLINIC CD INIT File of Apr 1, 2026 · source file $208.32 $208.32 — —
John H. Stroger, Jr. Hospital Chicago, IL · (312) 864-6000 PF-VISIT OP NEW LEVEL 4 File of Apr 1, 2026 · source file $224.00 $320.00 $87.54–$256.00 30%
John H. Stroger, Jr. Hospital Chicago, IL · (312) 864-6000 VISIT OP NEW LEVEL 4 File of Apr 1, 2026 · source file $238.70 $341.00 $75.00–$272.80 30%
Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC OFFICE/OUTPATIENT VISIT NEW - LEVEL 4 File of Jan 1, 2026 · source file $281.16 $852.00 $290.40–$429.44 67%
Community First Medical Center Chicago, IL · (773) 282-7000 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more File of Apr 1, 2026 · source file $344.63 $689.25 $128.00–$689.25 50%
Jackson Park Hospital Foundation Chicago, IL · (773) 947-7500 OUTPATIENT VISIT NEW EXTENDED File of Dec 26, 2025 · source file $357.81 $447.26 — 20%
Mercyhealth Hospital & Medical Center - Harvard Harvard, IL · (815) 943-5431 HC OFFICE/OP VISIT, NEW LEVEL IV File of Mar 1, 2026 · source file $381.40 $508.54 — 25%
Shriners Childrens - Chicago Chicago, IL · (773) 622-5400 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES File of Mar 19, 2026 · source file $407.70 $407.70 $115.69–$269.28 —
Northwestern Medicine Kishwaukee Hospital DeKalb, IL · (815) 756-1521 HB Office/Outpatient Visit New Level 4 File of Apr 1, 2026 · source file $438.20 $626.00 $114.56–$626.00 30%
Northwestern Medicine Central DuPage Hospital Winfield, IL · (630) 682-1600 HB Office/Outpatient Visit New Level 4 File of Apr 1, 2026 · source file $438.20 $626.00 $43.19–$626.00 30%
Palos Community Hospital Palos Heights, IL · (708) 923-4000 HB Office/Outpatient Visit New Level 4 File of Apr 1, 2026 · source file $438.20 $626.00 $100.16–$626.00 30%
Northwestern Memorial Hospital Chicago, IL · (312) 926-2000 HB Office/Outpatient Visit New Level 4 File of Apr 1, 2026 · source file $438.20 $626.00 $121.44–$626.00 30%
Northwestern Medicine Valley West Hospital Sandwich, IL · (815) 786-8484 HB Office/Outpatient Visit New Level 4 File of Apr 1, 2026 · source file $438.20 $626.00 $118.94–$626.00 30%
Northwestern Lake Forest Hospital Lake Forest, IL · (847) 234-5600 HB Office/Outpatient Visit New Level 4 File of Apr 1, 2026 · source file $438.20 $626.00 $131.46–$626.00 30%
Northwestern Medicine McHenry Hospital McHenry, IL · (815) 344-5000 HB Office/Outpatient Visit New Level 4 File of Apr 1, 2026 · source file $438.20 $626.00 $120.82–$626.00 30%
Northwestern Medicine Delnor Hospital Geneva, IL · (630) 208-3000 HB Office/Outpatient Visit New Level 4 File of Apr 1, 2026 · source file $438.20 $626.00 $93.27–$626.00 30%
Ingalls Memorial Hospital Harvey, IL · (708) 333-2300 Hc Evaluation And Management New Patient Level 4 File of Apr 1, 2026 · source file $497.00 $497.00 — —
Edward Hospital Naperville, IL · (630) 527-3000 HC NFPA ANNUAL EXAM+1 more line at this price File of Apr 1, 2026 · source file $584.00 $584.00 — —
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Evaluation And Management New Patient Level 4+1 more line at this price File of Apr 1, 2026 · source file $598.00 $598.00 — —
Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL · (312) 227-4000 H OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES File of Sep 1, 2026 · source file $604.80 $864.00 $66.40–$820.80 30%
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid+1 more line at this price File of Apr 1, 2026 · source file $606.00 $606.00 — —
Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb E&M New L&D Pt - Level 4+1 more line at this price File of Apr 1, 2026 · source file $639.00 $639.00 — —
Edward Hospital Naperville, IL · (630) 527-3000 HC PHYSICAL EXAM - DOT File of Apr 1, 2026 · source file $811.00 $811.00 — —
Edward Hospital Naperville, IL · (630) 527-3000 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4+1 more line at this price File of Apr 1, 2026 · source file $1,010.00 $1,010.00 — —
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4+1 more line at this price File of Apr 1, 2026 · source file $1,010.00 $1,010.00 — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $31.54, median $185.00, highest $1,010.00 — a 32.0× difference within the same market.

As an inpatient, the same code is billed by 30 facilities here, median $185.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 36 of 37 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 8 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What new patient visit, 45 min is, what the price covers and why prices differ: New patient visit, 45 min explained.