Doctor visits and therapy CPT 99204 Outpatient

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

In Somerset, PA, 1 hospital lists a cash price for New patient office visit, about 45 minutes: from $126.00 to $610.80, with a median of $319.80.

Cash prices at 1 facility 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 — and —.

Lowest$126.00UPMC Somerset
Median$319.80half pay less
Highest$610.80in this market
Difference4.8×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 Somerset, PA.

median
Lowest $126.00Highest $610.80

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
UPMC Somerset lowest Somerset, PA HC COMPR MOD VISIT NP P/F $126.00 $210.00 40%
source file
UPMC Somerset Somerset, PA HC VST COMP MOD NEW PT P/F $271.80 $453.00 40%
source file
UPMC Somerset Somerset, PA TELEHLTH VST COMP MOD NEW PT P/F $271.80 $453.00 40%
source file
UPMC Somerset Somerset, PA HC VISIT OP NEW PT $319.80 $533.00 40%
source file
UPMC Somerset Somerset, PA HC VISIT NEW PT COMPR MOD $373.20 $622.00 40%
source file
UPMC Somerset Somerset, PA HC VISIT NEW PT COMPR MOD MD $447.60 $746.00 40%
source file
UPMC Somerset Somerset, PA HC VISIT OP NEW PT MD $610.80 $1,018.00 40%
source file

Outpatient: lowest $126.00, median $319.80, highest $610.80 — a 4.8× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $319.80. 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.