Doctor visits and therapy CPT 99205 Outpatient

New patient visit, 60 min cost in Cleveland, OH

In Cleveland, OH, 10 hospitals list a cash price for new patient office visit, about 60 minutes: from $108.85 to $417.75, with a median of $152.75. The lowest listed price is at Metrohealth System — $43.90 less than the median here. Across Ohio, the median is $172.80 at 65 hospitals.

  • The median here, $152.75, is 48% below the US median of $296.05.
  • That is 1.1× Medicare's 2026 national rate for the same service ($136.02).
  • Every hospital here lists a cash price below its full list price.

Cash prices at 10 facilities across 7 cities for code 99205, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.

Lowest$108.85Metrohealth System
Median$152.75half of hospitals charge less
Highest$417.75in this market
Difference3.8×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 Cleveland, OH.

median
Lowest $108.85Highest $417.75

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Metrohealth System lowest Cleveland, OH · (216) 778-7089 Lvl 5 New Pt, High Mdm , 60-74 Minutes File of Apr 1, 2026 · source file $108.85 $311.00 — 65%
Marymount Hospital Garfield Heights, OH · (216) 587-8210 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES File of Jun 15, 2026 · source file $152.75 $235.00 $48.59–$280.16 35%
Medina Hospital Medina, OH · (330) 725-1000 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES File of Jun 15, 2026 · source file $152.75 $235.00 $51.23–$235.00 35%
Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES File of Jun 15, 2026 · source file $152.75 $235.00 $51.23–$235.00 35%
South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES File of Jun 15, 2026 · source file $152.75 $235.00 $48.59–$280.16 35%
Fairview Hospital Cleveland, OH · (216) 476-7000 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES File of Jun 15, 2026 · source file $152.75 $235.00 $51.23–$235.00 35%
Lutheran Hospital Cleveland, OH · (216) 696-4300 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES File of Jun 15, 2026 · source file $152.75 $235.00 $51.23–$235.00 35%
Euclid Hospital Euclid, OH · (216) 531-9000 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES File of Jun 15, 2026 · source file $152.75 $235.00 $51.23–$235.00 35%
Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES File of Jun 15, 2026 · source file $152.75 $235.00 $51.23–$235.00 35%
UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC OFFICE OUTPATIENT NEW 60 MINUTES+1 more line at this price File of Jul 14, 2026 · source file $417.75 $557.00 $32.00–$501.30 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.

Outpatient: lowest $108.85, median $152.75, highest $417.75 — a 3.8× difference within the same market.

As an inpatient, the same code is billed by 11 facilities here, median $152.75. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 9 of 9 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 new patient visit, 60 min is, what the price covers and why prices differ: New patient visit, 60 min explained.