New patient visit, 45 min cost in Utica, NY — inpatient
In Utica-Rome, NY, 3 hospitals list a cash price for new patient office visit, about 45 minutes as an inpatient: from $144.50 to $287.43, with a median of $205.20. The lowest listed price is at Little Falls Hospital — $60.70 less than the median here. Across New York, the median is $287.43 at 73 hospitals.
Cash prices at 3 facilities across 3 cities for code 99204, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 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 Utica-Rome, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 Office/Outpatient New Moderate Mdm 45-59 Minutes | $144.50 | $289.00 | $106.32–$56.57 | 50% | — source file |
| Mvhs Utica, NY Office/Outpatient New Moderate Mdm 45 Minutes | $205.20 | $342.00 | $51.10–$278.11 | 40% | — source file |
| Mvhs Utica, NY Office/Outpatient New Moderate Mdm 45 Minutes | $205.20 | $342.00 | $51.10–$278.11 | 40% | — source file |
| Rome Memorial Hospital Rome, NY · (315) 338-7000 Office/outpatient visit new | $287.43 | $712.00 | $120.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital Rome, NY · (315) 338-7000 Office/outpatient visit new | $287.43 | $712.00 | $120.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital Rome, NY · (315) 338-7000 New patient level 4 | $287.43 | $712.00 | $120.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital Rome, NY · (315) 338-7000 New patient level 4 | $287.43 | $712.00 | $120.00 | 60% | Aug 11, 2026 source file |
Inpatient: lowest $144.50, median $205.20, highest $287.43 — a 2.0× difference within the same market.
As an outpatient, the same code is billed by 3 facilities here, median $205.20 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 1 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.