Doctor visits and therapy CPT 99204 Outpatient

New patient office visit, about 45 minutes in Helena, MT

In Helena, MT, 2 hospitals list a cash price for New patient office visit, about 45 minutes: from $194.07 to $318.35, with a median of $196.63. The lowest listed price is at St. Peter's Health.

Cash prices at 2 facilities for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Mar 10, 2026.

Lowest$194.07St. Peter's Health
Median$196.63half pay less
Highest$318.35in this market
Difference1.6×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 Helena, MT.

median
Lowest $194.07Highest $318.35

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
St. Peter's Health lowest Helena, MT HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4 $194.07 $228.32 15%
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St. Peter's Health Helena, MT HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4 $194.07 $228.32 15%
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St. Peter's Health Helena, MT CLINIC - GENERAL CLASSIFICATION $199.18 $234.33 15%
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Montana Childrens Home & Hospital Helena, MT New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $318.35 $424.46 25% Mar 10, 2026
source file

Outpatient: lowest $194.07, median $196.63, highest $318.35 — a 1.6× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $194.07. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.