New patient visit, 45 min cost in San Antonio, TX
In San Antonio-New Braunfels, TX, 12 hospitals list a cash price for new patient office visit, about 45 minutes: from $36.63 to $1,101.19, with a median of $1,101.19. The lowest listed price is at Santa Rosa Hospital - Westover Hills — $1,064.56 less than the median here. Across Texas, the median is $292.50 at 179 hospitals.
- The median here, $1,101.19, is 372% above the US median of $233.40.
- That is 8.1× Medicare's 2026 national rate for the same service ($136.02).
- San Antonio, TX ranks 3rd of 4 metro areas in Texas by median, cheapest first.
- 8 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 12 facilities across 5 cities for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Jan 13, 2026 and Oct 7, 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 San Antonio-New Braunfels, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Santa Rosa Hospital - Westover Hills lowest San Antonio, TX · (210) 703-8211 HC 99204 OFC/OUTPATIENT VISIT,NEW 4 File of Jan 13, 2026 · source file | $36.63 | $111.00 | $12.21–$480.00 | 67% |
| Guadalupe Regional Medical Center Seguin, TX · (830) 379-2411 GC NEW PAT 99204 VISIT CHG+1 more line at this price File of May 21, 2026 · source file | $98.50 | $197.00 | $88.65–$507.01 | 50% |
| University Health System San Antonio, TX · (210) 358-2000 HC NEW PT FACILITY LEVEL IV+1 more line at this price File of Oct 7, 2026 · source file | $100.00 | $400.00 | $135.20–$1,000.00 | 75% |
| Guadalupe Regional Medical Center Seguin, TX · (830) 379-2411 GC NEW PAT 99204 PF M 45-59M File of May 21, 2026 · source file | $102.00 | $204.00 | $91.80–$507.01 | 50% |
| Methodist Hospital Stone Oak Spring Branch, TX · (210) 638-2101 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file | $118.98 | $118.98 | $5.95–$101.13 | — |
| Guadalupe Regional Medical Center Seguin, TX · (830) 379-2411 WC PF VISIT NEW MOD 45-59M W/P+7 more lines at this price File of May 21, 2026 · source file | $194.50 | $389.00 | $154.29–$507.01 | 50% |
| Medina Regional Hospital Hondo, TX · (830) 426-7700 OB NEW PATIENT LVL 4+1 more line at this price File of Jul 29, 2026 · source file | $203.52 | $226.13 | $54.27–$683.02 | 10% |
| Guadalupe Regional Medical Center Seguin, TX · (830) 379-2411 PALLIATIVE 99204 45-59M OP;NEW File of May 21, 2026 · source file | $211.00 | $422.00 | $154.29–$507.01 | 50% |
| Medina Regional Hospital Hondo, TX · (830) 426-7700 OB TRIAGE NEW PT LVL 4 File of Jul 29, 2026 · source file | $382.50 | $425.00 | $102.00–$683.02 | 10% |
| Methodist Hospital San Antonio, TX · (210) 575-4000 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file | $1,101.19 | $1,101.19 | $55.06–$1,101.19 | — |
| Northeast Methodist San Antonio, TX · (210) 638-2101 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file | $1,101.19 | $1,101.19 | $55.06–$936.01 | — |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file | $1,101.19 | $1,101.19 | $55.06–$936.01 | — |
| Methodist Hospital Landmark San Antonio, TX · (210) 638-2101 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 | $1,101.19 | $1,101.19 | $132.14–$936.01 | — |
| Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file | $1,101.19 | $1,101.19 | $55.06–$936.01 | — |
| Metropolitan Methodist San Antonio, TX · (210) 575-4000 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file | $1,101.19 | $1,101.19 | $55.06–$936.01 | — |
| Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 OP VISIT LEVEL 4 NP File of Sep 1, 2026 · source file | $1,101.19 | $1,101.19 | $55.06–$1,101.19 | — |
Outpatient: lowest $36.63, median $1,101.19, highest $1,101.19 — a 30.1× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $102.50. 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 4 of 12 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.