New patient visit, 45 min cost in Philadelphia, PA
In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 11 hospitals list a cash price for new patient office visit, about 45 minutes: from $115.20 to $1,330.31, with a median of $144.00. The lowest listed price is at Virtua Our Lady of Lourdes and 4 other hospitals — $28.80 less than the median here. Across Pennsylvania, the median is $300.00 at 71 hospitals.
- The median here, $144.00, is 38% below the US median of $233.40.
- That is 1.1× Medicare's 2026 national rate for the same service ($136.02).
- Philadelphia, PA has the lowest median of 2 metro areas in Pennsylvania with at least 10 hospitals pricing this code.
- 3 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 11 facilities across 9 cities for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 26, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 21, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Virtua Our Lady of Lourdes lowest Camden, NJ · (856) 886-5373 HC Medication Management New Patient 45 - 59 Minutes File of Apr 1, 2026 · source file | $115.20 | $1,152.00 | $0.01 | 90% |
| Virtua Memorial Hospital lowest Mount Holly, NJ · (609) 267-0700 HC Medication Management New Patient 45 - 59 Minutes File of Apr 1, 2026 · source file | $115.20 | $1,152.00 | $0.01 | 90% |
| Virtua Willingboro Hospital lowest Willinboro, NJ · (609) 835-2900 HC Medication Management New Patient 45 - 59 Minutes File of Apr 1, 2026 · source file | $115.20 | $1,152.00 | $0.01 | 90% |
| Virtua West Jersey Hospital - Marlton lowest Voorhees, NJ · (856) 247-3000 HC Medication Management New Patient 45 - 59 Minutes File of Apr 1, 2026 · source file | $115.20 | $1,152.00 | $0.01 | 90% |
| Virtua West Jersey Hospital - Voorhees lowest Voorhees, NJ · (856) 247-3000 HC Medication Management New Patient 45 - 59 Minutes+1 more line at this price File of Jun 1, 2026 · source file | $115.20 | $1,152.00 | $0.01 | 90% |
| Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 New Office Visit Level Four+1 more line at this price File of Mar 10, 2026 · source file | $144.00 | $144.00 | — | — |
| Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 E/M level 4 - New Patient - MOU+2 more lines at this price File of Sep 21, 2026 · source file | $170.53 | $284.21 | $73.89–$275.78 | 40% |
| Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 E & M New Pt Extend w/ Mod - WCC+1 more line at this price File of Sep 21, 2026 · source file | $184.56 | $307.59 | $79.97–$275.78 | 40% |
| Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES File of Mar 19, 2026 · source file | $418.90 | $418.90 | $83.59–$169.29 | — |
| St Luke's Hospital - Upper Bucks Campus Quakertown, PA · (267) 985-1000 HB OFFICE/OUTPATIENT VISIT NEW (EXTENDED) File of Feb 26, 2026 · source file | $952.20 | $1,058.00 | $90.37–$876.24 | 10% |
| St Luke's Hospital - Grand View Campus Sellersville, PA · (215) 453-4000 HB OFFICE/OUTPATIENT VISIT NEW (EXTENDED) File of Feb 26, 2026 · source file | $952.20 | $1,058.00 | $108.44–$10,392.55 | 10% |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 HB Clinic-New/Level 4 File of Dec 31, 2025 · source file | $1,330.31 | $1,330.31 | $219.50–$1,197.28 | — |
Outpatient: lowest $115.20, median $144.00, highest $1,330.31 — a 11.5× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $561.37. 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 2 of 10 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.