SelfPayRates — hospital cash prices, from the source

New patient office visit, about 45 minutes in Dallas-Fort Worth-Arlington, TX

Cash prices at 14 facilities across 11 cities for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 31, 2025 and Apr 21, 2026.

Hospital		Cash price	List price	Off	File date
The University of Texas Southwestern Medical Center at Dallas DALLAS, TX TRAVEL OFF/OP NEW MODERATE MDM 45 MINS		$75.00	$100.00	25%	Mar 10, 2026 file
The University of Texas Southwestern Medical Center at Dallas DALLAS, TX PG INITIAL CONSULT		$214.50	$286.00	25%	Mar 10, 2026 file
Texas Health Specialty Hospital Fort Worth FORT WORTH, TX 99204 NEW PATIENT E&M LVL IV		$337.20	$562.00	40%	Apr 21, 2026 file
Frisco Medical Center LLP FRISCO, TX URG2 LEVEL 4		$364.54	$607.57	40%	Jan 31, 2025 file
The University of Texas Southwestern Medical Center at Dallas DALLAS, TX HCHG VISIT NEW LEVEL IV		$378.50	$757.00	50%	Mar 10, 2026 file
The University of Texas Southwestern Medical Center at Dallas DALLAS, TX HCHG VISIT NEW LEVEL IV W/PROC		$378.50	$757.00	50%	Mar 10, 2026 file
The University of Texas Southwestern Medical Center at Dallas DALLAS, TX OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES		$417.00	$556.00	25%	Mar 10, 2026 file
The University of Texas Southwestern Medical Center at Dallas DALLAS, TX OFFICE/OUTPATIENT NEW MODERATE MDM 45 MIN		$417.00	$556.00	25%	Mar 10, 2026 file
Texas Health Presbyterian Hospital Allen ALLEN, TX 99204 NEW PATIENT E&M LVL IV		$484.35	$807.25	40%	Apr 21, 2026 file
Flower Mound Hospital Partners LLC FLOWER MOUND, TX 99204 NEW PATIENT E&M LVL IV		$484.35	$807.25	40%	Apr 21, 2026 file
Texas Health Hospital Frisco FRISCO, TX 99204 NEW PATIENT E&M LVL IV		$484.35	$807.25	40%	Apr 21, 2026 file
Texas Health Presbyterian Hospital Plano PLANO, TX 99204 NEW PATIENT E&M LVL IV		$484.35	$807.25	40%	Apr 21, 2026 file
Texas Health Harris Methodist Hospital Southwest Fort Worth FORT WORTH, TX 99204 NEW PATIENT E&M LVL IV		$484.35	$807.25	40%	Apr 21, 2026 file
Texas Health Harris Methodist Hospital Alliance FORT WORTH, TX 99204 NEW PATIENT E&M LVL IV		$484.35	$807.25	40%	Apr 21, 2026 file
Texas Health Presbyterian Hospital Denton DENTON, TX 99204 NEW PATIENT E&M LVL IV		$484.35	$807.25	40%	Apr 21, 2026 file
Texas Health Harris Methodist Hospital Cleburne CLEBURNE, TX 99204 NEW PATIENT E&M LVL IV		$672.90	$1,121.50	40%	Apr 21, 2026 file
Texas Health Huguley Hospital Fort Worth South BURLESON, TX HC OFFICE OUTPATIENT NEW PT MOD LVL MDM		$955.09	$955.09	—	Apr 1, 2026 file
Texas Health Hospital Mansfield MANSFIELD, TX HC OFFICE OUTPATIENT NEW PT MOD LVL MDM		$955.09	$955.09	—	Apr 1, 2026 file
Texas Health Presbyterian Hospital Kaufman KAUFMAN, TX 99204 NEW PATIENT E&M LVL IV		$1,034.25	$1,723.75	40%	Apr 21, 2026 file

Outpatient: lowest $75.00, median $484.35, highest $1,034.25 — a 13.8× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $484.35. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Other markets for this procedure