Doctor visits and therapy CPT 99204 Outpatient

New patient visit, 45 min cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 12 hospitals list a cash price for new patient office visit, about 45 minutes: from $95.75 to $416.25, with a median of $156.67. The lowest listed price is at McLaren Oakland — $60.92 less than the median here. Across Michigan, the median is $118.15 at 50 hospitals.

  • The median here, $156.67, is 33% below the US median of $233.40.
  • That is 1.2× Medicare's 2026 national rate for the same service ($136.02).
  • 1 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 12 facilities across 8 cities for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Jun 28, 2026.

Lowest$95.75McLaren Oakland
Median$156.67half of hospitals charge less
Highest$416.25in this market
Difference4.3×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 Detroit-Warren-Dearborn, MI.

median
Lowest $95.75Highest $23,081.05

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
McLaren Oakland lowest Pontiac, MI · (248) 338-5000 New Patient Visit - Level 4 File of Dec 31, 2025 · source file $95.75 $191.50 $191.74–$250.00 50%
McLaren Oakland Pontiac, MI · (248) 338-5000 Office Visit Level 4 New Professional 45-59 Minutes 99204 File of Dec 31, 2025 · source file $96.00 $192.00 $75.64–$250.00 50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 Office Visit Level 4 New Professional 45-59 Minutes 99204 File of Dec 31, 2025 · source file $96.00 $192.00 $55.10–$250.00 50%
McLaren Port Huron Port Huron, MI · (810) 987-5000 Office Visit Level 4 New Professional 45-59 Minutes 99204 File of Dec 31, 2025 · source file $96.00 $192.00 $49.65–$250.00 50%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Office Visit Level 4 New Professional 45-59 Minutes 99204 File of Dec 31, 2025 · source file $96.00 $192.00 $44.62–$350.99 50%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 New Patient Visit Level 4 File of Dec 31, 2025 · source file $101.50 $203.00 $70.83–$350.99 50%
Henry Ford Health St John Hospital Detroit, MI · (313) 343-4000 NEW PT COMP/MOD SVC+1 more line at this price File of Jan 1, 2026 · source file $118.16 $211.00 $107.15–$195.18 44%
Henry Ford Providence Southfield Hospital Southfield, MI · (248) 849-3000 OFFICE O/P NEW MOD 45 MIN File of Jan 1, 2026 · source file $154.00 $275.00 $107.15–$230.12 44%
Henry Ford Rochester Hospital Rochester, MI · (248) 652-5000 CHF NEW PATIENT 45-59MIN VIRTUAL+3 more lines at this price File of Jan 1, 2026 · source file $159.33 $339.00 $134.90–$165.35 53%
Henry Ford Rochester Hospital Rochester, MI · (248) 652-5000 PF OP CONSULT 60 MIN+1 more line at this price File of Jan 1, 2026 · source file $164.97 $351.00 $134.90–$165.35 53%
Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB OFF VISIT NEW LEVEL IV SA (MD/SA)+1 more line at this price File of Jun 28, 2026 · source file $167.85 $283.00 $0.01 41%
Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB OFF VISIT NEW LEVEL IV SA (MD/SA)+1 more line at this price File of Jun 28, 2026 · source file $167.85 $283.00 $0.01 41%
Henry Ford Rochester Hospital Rochester, MI · (248) 652-5000 LEVEL 4 NEW COMPREHENSIVE File of Jan 1, 2026 · source file $183.30 $390.00 $134.90–$165.35 53%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 New Patient Visit Level 4 File of Dec 31, 2025 · source file $184.50 $369.00 $101.24–$250.00 50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 New Patient Visit - Level 4 File of Dec 31, 2025 · source file $184.75 $369.50 $101.24–$250.00 50%
McLaren Port Huron Port Huron, MI · (810) 987-5000 New Patient Visit - Level 4 File of Dec 31, 2025 · source file $185.80 $371.60 $145.48–$250.00 50%
McLaren Port Huron Port Huron, MI · (810) 987-5000 New Patient Visit Level 4+1 more line at this price File of Dec 31, 2025 · source file $186.00 $372.00 $145.48–$250.00 50%
Surgeons Choice Medical Center Southfield, MI OV LEVEL 4 NEW File of May 8, 2026 · source file $250.00 $250.00 — —
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 OB Triage Level, New Patient -> Level 4 File of Dec 31, 2025 · source file $268.50 $537.00 $250.00–$350.99 50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 OB Triage Level, New Patient -> Level 4 File of Dec 31, 2025 · source file $271.50 $543.00 $101.24–$366.53 50%
Surgeons Choice Medical Center Southfield, MI CL PF NEW MODERATE File of May 8, 2026 · source file $275.00 $275.00 $176.37 —
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 New Patient Visit - Level 4 File of Dec 31, 2025 · source file $279.95 $559.90 $195.35–$350.99 50%
Surgeons Choice Medical Center Southfield, MI 99204 CL NEW MODERATE File of May 8, 2026 · source file $373.00 $373.00 — —
VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 E&M-NEW PATIENT-LVL IV File of Apr 7, 2026 · source file $378.75 $505.00 — 25%
VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 OV NEW PT LVL 4 File of Apr 8, 2026 · source file $416.25 $555.00 — 25%
VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 E&M-NEW PATIENT-LVL IV File of Apr 8, 2026 · source file $442.50 $590.00 — 25%
VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 F OFF VST NEW PT MOD COMPLEX File of Apr 7, 2026 · source file $444.75 $593.00 — 25%
VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 FACLTY NEW PAT LEVEL 4 File of Apr 7, 2026 · source file $517.50 $690.00 — 25%
VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 E&M-NEW PATENT-LVL IV File of Apr 8, 2026 · source file $756.75 $1,009.00 — 25%
VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 OFFICE VST NEW PT MOD COMPLEX File of Apr 7, 2026 · source file $1,549.50 $2,066.00 — 25%
McLaren Port Huron Port Huron, MI · (810) 987-5000 OFFICE/OUTPATIENT VISIT NEW File of Dec 31, 2025 · source file $23,081.05 $46,162.09 $145.48–$23,450.34 50%
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 $95.75, median $156.67, highest $416.25 — a 4.3× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $96.00. 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 7 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.