Doctor visits and therapy CPT 99204 Inpatient — admitted to hospital

New patient visit, 45 min cost in Rugby, ND — inpatient

In Rugby, ND, 1 hospital lists a cash price for new patient office visit, about 45 minutes as an inpatient: from $441.75 to $441.75, with a median of $441.75. Across North Dakota, the median is $354.00 at 17 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 — and —.

Lowest$441.75Heart of America Medical Center
Median$441.75half of hospitals charge less
Highest$441.75in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Heart of America Medical Center Rugby, ND PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES source file $441.75 $589.00 $242.04–$337.58 25%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.

Inpatient: lowest $441.75, median $441.75, highest $441.75.

As an outpatient, the same code is billed by 1 facility here, median $441.75 — 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 not 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.