Doctor visits and therapy CPT 99204 Outpatient

New patient visit, 45 min cost in Sparta, WI

In Sparta, WI, 1 hospital lists a cash price for new patient office visit, about 45 minutes: from $178.97 to $178.97, with a median of $178.97. Across Wisconsin, the median is $205.00 at 74 hospitals.

Cash prices at 1 facility for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Jun 30, 2026 and Jun 30, 2026.

Lowest$178.97Tomah Memorial Hospital
Median$178.97half pay less
Highest$178.97in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Tomah Memorial Hospital Tomah, WI · (608) 372-2181 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $178.97 $311.25 $102.71–$301.91 42% Jun 30, 2026
source file

Outpatient: lowest $178.97, median $178.97, highest $178.97.

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. 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.