Doctor visits and therapy CPT 99204 Inpatient — admitted to hospital

New patient visit, 45 min cost in Sherman, TX — inpatient

In Sherman-Denison, TX, 1 hospital lists a cash price for new patient office visit, about 45 minutes as an inpatient: from $97.20 to $97.20, with a median of $97.20. Across Texas, the median is $321.00 at 161 hospitals.

Cash prices at 1 facility for code 99204, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$97.20Baylor Scott and White Surgical Hospital at Sherman
Median$97.20half pay less
Highest$97.20in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Baylor Scott and White Surgical Hospital at Sherman Sherman, TX · (903) 813-3728 HP PLUS MOD-HIGH $97.20 $162.00 $238.44 40% Apr 1, 2026
source file

Inpatient: lowest $97.20, median $97.20, highest $97.20.

As an outpatient, the same code is billed by 1 facility here, median $97.20 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and 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 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.