Doctor visits and therapy CPT 99204 Outpatient

New patient visit, 45 min cost in Houston, TX

In Houston-Pasadena-The Woodlands, TX, 48 hospitals list a cash price for new patient office visit, about 45 minutes: from $51.20 to $3,698.35, with a median of $238.35. The lowest listed price is at Memorial Hermann Cypress Hospital and 17 other hospitals — $187.15 less than the median here. Across Texas, the median is $292.50 at 179 hospitals.

  • The median here, $238.35, is 2% above the US median of $233.40.
  • That is 1.8× Medicare's 2026 national rate for the same service ($136.02).
  • Houston, TX has the lowest median of 4 metro areas in Texas with at least 10 hospitals pricing this code.
  • 11 of 48 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 48 facilities across 20 cities for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 1, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Sep 8, 2026.

Lowest$51.20Memorial Hermann Cypress Hospital + 17 more
Median$238.35half of hospitals charge less
Highest$3,698.35in this market
Difference72.2×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 Houston-Pasadena-The Woodlands, TX.

median
Lowest $51.20Highest $3,698.35

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Memorial Hermann Cypress Hospital lowest Cypress, TX · (713) 704-3700 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Tirr Memorial Hermann lowest Houston, TX HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann-Texas Medical Center lowest Houston, TX · (713) 704-3700 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Children's Memorial Hermann Hospital lowest Houston, TX HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Memorial City Medical Center lowest Houston, TX · (713) 242-3000 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Katy Hospital lowest Katy, TX · (281) 392-1111 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Greater Heights Hospital lowest Houston, TX · (713) 448-6796 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Southeast Hospital lowest Houston, TX · (713) 448-6796 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann The Woodlands Medical Center lowest The Woodlands, TX · (713) 448-6796 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Imaging Center (Cypress) lowest Cypress, TX · (713) 704-3700 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Imaging Center (Bellaire) lowest Bellaire, TX · (713) 704-3700 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Northeast Hospital lowest Humble, TX · (281) 540-7700 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Southwest Hospital lowest Houston, TX · (713) 448-6796 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Imaging Center (Texas Medical Center) lowest Houston, TX · (713) 704-3700 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Sugar Land Hospital lowest Sugar Land, TX · (281) 725-5000 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Rockets Orthopedic Hospital lowest Bellaire, TX HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Pearland Hospital lowest Pearland, TX · (713) 448-6796 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Memorial Hermann Imaging Center (Upper Kirby) lowest Houston, TX · (713) 704-3700 HC NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $51.20 $160.00 — 68%
Harris Health Taub Loop Houston, TX · (713) 873-2000 ECHG TITLE V - INITIAL - NEW PT - COMPRE EXAM, MOD COMPLEX DECISION-MAKING (45 MIN) File of Mar 24, 2026 · source file $126.71 $123.00 $0.01 -3%
Harris Health Houston, TX · (713) 873-2000 ECHG TITLE V - INITIAL - NEW PT - COMPRE EXAM, MOD COMPLEX DECISION-MAKING (45 MIN) File of Mar 24, 2026 · source file $126.71 $123.00 $0.01 -3%
Sweeny Community Hospital Sweeny, TX · (979) 548-3311 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more File of Sep 8, 2026 · source file $134.10 $223.50 $67.05–$223.50 40%
Memorial Hermann Imaging Center (Upper Kirby) Houston, TX · (713) 704-3700 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Memorial City Medical Center Houston, TX · (713) 242-3000 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Imaging Center (Bellaire) Bellaire, TX · (713) 704-3700 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Tirr Memorial Hermann Houston, TX HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Rockets Orthopedic Hospital Bellaire, TX HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann-Texas Medical Center Houston, TX · (713) 704-3700 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Northeast Hospital Humble, TX · (281) 540-7700 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Children's Memorial Hermann Hospital Houston, TX HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Katy Hospital Katy, TX · (281) 392-1111 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Imaging Center (Texas Medical Center) Houston, TX · (713) 704-3700 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Southwest Hospital Houston, TX · (713) 448-6796 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Pearland Hospital Pearland, TX · (713) 448-6796 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Greater Heights Hospital Houston, TX · (713) 448-6796 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Southeast Hospital Houston, TX · (713) 448-6796 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann The Woodlands Medical Center The Woodlands, TX · (713) 448-6796 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Cypress Hospital Cypress, TX · (713) 704-3700 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Sugar Land Hospital Sugar Land, TX · (281) 725-5000 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
Memorial Hermann Imaging Center (Cypress) Cypress, TX · (713) 704-3700 HC TIRR - NEW PT OUTPT VISIT LEVEL 4 File of Apr 1, 2026 · source file $140.00 $437.50 — 68%
The Community Hospital of Brazosport Lake Jackson, TX · (979) 297-4411 NEW PT VISIT 4 File of Feb 28, 2026 · source file $192.78 $550.80 $82.62–$414.53 65%
CHI St. Luke's Health Springwood Village Spring, TX · (936) 266-4050 HC CLINIC VISIT LEVEL 4 NEW File of Feb 28, 2026 · source file $238.35 $681.00 $74.00–$681.00 65%
St Luke's the Woodlands Hospital The Woodlands, TX · (936) 266-4050 HC CLINIC VISIT LEVEL 4 NEW File of Feb 28, 2026 · source file $238.35 $681.00 $74.00–$681.00 65%
St Luke's Lakeside Hospital The Woodlands, TX · (936) 266-4055 HC CLINIC VISIT LEVEL 4 NEW File of Feb 28, 2026 · source file $238.35 $681.00 $74.00–$681.00 65%
St Luke's Sugar Land Hospital Sugar Land, TX · (281) 637-7000 HC CLINIC VISIT LEVEL 4 NEW File of Feb 28, 2026 · source file $238.35 $681.00 $74.00–$681.00 65%
CHI St. Luke's Health Baylor College of Medicine Medical Center Houston, TX · (832) 355-1000 HC CLINIC VISIT LEVEL 4 NEW File of Feb 28, 2026 · source file $238.35 $681.00 $82.00–$681.00 65%
St. Lukes Hospital at the Vintage Houston, TX · (832) 534-5000 HC CLINIC VISIT LEVEL 4 NEW File of Feb 28, 2026 · source file $238.35 $681.00 $74.00–$681.00 65%
The Community Hospital of Brazosport Lake Jackson, TX · (979) 297-4411 NEW PATIENT LEVEL 4 File of Feb 28, 2026 · source file $240.62 $687.48 $45.00–$414.53 65%
Texas Children's Hospital Houston, TX · (832) 824-1000 TC NEW OP VISIT LVL 4 - ROOM, STAFF, AND SUPPLY CHARGE+2 more lines at this price File of Mar 5, 2026 · source file $278.72 $416.00 $112.32–$395.20 33%
Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
The Methodist Hospital Houston, TX · (713) 790-2221 HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
Houston Methodist Continuing Care Hospital Katy, TX HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC E&M VISIT NEW MOD 45 MINS File of Apr 1, 2026 · source file $313.00 $626.00 — 50%
Shriners Childrens Texas Galveston, TX · (409) 770-6600 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES File of Mar 18, 2026 · source file $355.70 $355.70 $56.77–$251.87 —
Liberty Dayton Regional Medical Center Liberty, TX · (936) 336-7316 New patient office or other outpatient visit, 45 min source file $466.00 $666.00 $400.00–$633.00 30%
HCA Houston Healthcare Southeast Pasadena, TX · (713) 359-1000 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file $466.46 $466.46 $27.99–$600.00 —
HCA Houston Healthcare Medical Center Houston, TX · (713) 527-5019 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file $604.00 $604.00 $36.24–$513.40 —
HCA Houston Healthcare West Houston, TX · (281) 588-8080 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file $780.00 $780.00 $46.80–$702.00 —
HCA Houston Healthcare North Cypress Houston, TX · (281) 359-7500 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file $1,009.66 $1,009.66 $60.58–$858.21 —
HCA Houston Healthcare Clear Lake Alvin, TX · (281) 332-2511 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file $1,553.25 $1,553.25 $93.19–$1,397.92 —
HCA Houston Mainland Texas City, TX · (281) 332-2511 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file $1,670.00 $1,670.00 $100.20–$1,503.00 —
HCA Houston Healthcare Conroe Conroe, TX · (936) 539-1111 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh +1 more line at this price File of Sep 1, 2026 · source file $2,265.78 $2,265.78 $135.95–$2,039.20 —
HCA Houston Healthcare Tomball Houston, TX · (281) 351-7500 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh +1 more line at this price File of Sep 1, 2026 · source file $3,698.35 $3,698.35 $221.90–$3,143.60 —
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 $51.20, median $238.35, highest $3,698.35 — a 72.2× difference within the same market.

As an inpatient, the same code is billed by 35 facilities here, median $51.20. 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 11 of 21 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.

19 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 99204 ($248.56). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Tirr Memorial Hermann Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann-Texas Medical Center Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Children's Memorial Hermann Hospital Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Greater Heights Hospital Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Southeast Hospital Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann The Woodlands Medical Center The Woodlands, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Imaging Center (Cypress) Cypress, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Imaging Center (Bellaire) Bellaire, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Northeast Hospital Humble, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Sugar Land Hospital Sugar Land, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Rockets Orthopedic Hospital Bellaire, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Cypress Hospital Cypress, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Imaging Center (Upper Kirby) Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Pearland Hospital Pearland, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Imaging Center (Texas Medical Center) Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Rehabilitation Hospital Katy Katy, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Southwest Hospital Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Katy Hospital Katy, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
Memorial Hermann Memorial City Medical Center Houston, TXHC CONSULTATION -COMPREHENSIVE $21.12 file
File Link to the hospital's own price file.