Doctor visits and therapy CPT 99204 Inpatient — admitted to hospital

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

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

Cash prices at 1 facility for code 99204, as an inpatient (admitted to hospital) . 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%
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UPMC Somerset Somerset, PA HC VST COMP MOD NEW PT P/F $271.80 $453.00 40%
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UPMC Somerset Somerset, PA TELEHLTH VST COMP MOD NEW PT P/F $271.80 $453.00 40%
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UPMC Somerset Somerset, PA HC VISIT OP NEW PT $319.80 $533.00 40%
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UPMC Somerset Somerset, PA HC VISIT NEW PT COMPR MOD $373.20 $622.00 40%
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UPMC Somerset Somerset, PA HC VISIT NEW PT COMPR MOD MD $447.60 $746.00 40%
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UPMC Somerset Somerset, PA HC VISIT OP NEW PT MD $610.80 $1,018.00 40%
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Inpatient: lowest $126.00, median $319.80, highest $610.80 — a 4.8× difference within the same market.

As an outpatient, the same code is billed by 1 facility here, median $319.80 — that is the price to compare if you are not being admitted.

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.