Doctor visits and therapy CPT 99204 Outpatient

New patient office visit, about 45 minutes in Pittsburgh, PA

In Pittsburgh, PA, 14 hospitals list a cash price for New patient office visit, about 45 minutes: from $63.07 to $510.00, with a median of $300.00. The lowest listed price is at UPMC Washington.

Cash prices at 14 facilities across 8 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 Mar 6, 2026 and Mar 6, 2026.

Lowest$63.07UPMC Washington
Median$300.00half pay less
Highest$510.00in this market
Difference8.1×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 Pittsburgh, PA.

median
Lowest $63.07Highest $510.00

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
UPMC Washington lowest Washington, PA ANNUAL PHYSICAL EXAM III $63.07 $90.10 30%
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UPMC Washington Washington, PA PREPLACEMENT EXAM IV $76.44 $109.20 30%
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Monogahela Valley Hospital Monongahela, PA O/P OFF VISIT NEW PT MOD COMP $81.00 $135.00 40%
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Monogahela Valley Hospital Monongahela, PA NEW PATIENT LEVEL 4 $120.60 $201.00 40%
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Highlands Hospital Connellsville, PA FAC - INITIAL OFFICE VIST LVL 4 $178.20 $297.00 40%
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Uniontown Hospital Uniontown, PA OFFICE O/P NEW MOD 45 MIN $187.00 $374.00 50%
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Monogahela Valley Hospital Monongahela, PA LEVEL IV NEW PATIENT $199.80 $333.00 40%
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Monogahela Valley Hospital Monongahela, PA MODERATE <45 MINUTES $199.80 $333.00 40%
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UPMC Western Psychiatric Hospital Pittsburgh, PA CLINIC VISIT NEW 99204 $300.00 $500.00 40%
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UPMC Mercy Pittsburgh, PA CLINIC VISIT NEW 99204 $300.00 $500.00 40%
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UPMC Presbyterian Pittsburgh, PA NEW OP VISIT LEVEL 4 $300.00 $500.00 40% Mar 6, 2026
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UPMC Presbyterian Pittsburgh, PA CLINIC VISIT NEW 99204 $300.00 $500.00 40% Mar 6, 2026
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UPMC Passavant - McCandless Pittsburgh, PA HC CLINIC VISIT NEW 99204 $303.00 $505.00 40%
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Monogahela Valley Hospital Monongahela, PA LEVEL IV NEW PATIENT-45 MIN $307.80 $513.00 40%
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UPMC Magee-Womens Hospital Pittsburgh, PA HC CLINIC VISIT NEW 99204 $378.60 $631.00 40%
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UPMC St Margaret Pittsburgh, PA CLINIC VISIT NEW 99204 $388.80 $648.00 40%
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UPMC Western Psychiatric Hospital Pittsburgh, PA PES BRIEF NEW 99204 $400.80 $668.00 40%
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UPMC Western Psychiatric Hospital Pittsburgh, PA INITIAL VISIT-EXTENDED O/P $400.80 $668.00 40%
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UPMC East Monroeville, PA CLINIC VISIT NEW 99204 $425.40 $709.00 40%
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UPMC Jameson New Castle, PA CLINIC VISIT NEW 99204 $433.80 $723.00 40%
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UPMC Childrens Hospital of Pittsburgh Pittsburgh, PA CLINIC VISIT NEW 99204 $484.20 $807.00 40% Mar 6, 2026
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UPMC McKeesport McKeesport, PA CLINIC VISIT NEW 99204 $510.00 $850.00 40%
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Outpatient: lowest $63.07, median $300.00, highest $510.00 — a 8.1× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $300.00. 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.