Doctor visits and therapy CPT 99205 Inpatient — admitted to hospital

New patient visit, 60 min cost in Madisonville, KY — inpatient

In Madisonville, KY, 1 hospital lists a cash price for new patient office visit, about 60 minutes as an inpatient: from $197.87 to $197.87, with a median of $197.87. Across Kentucky, the median is $234.60 at 36 hospitals.

Cash prices at 1 facility for code 99205, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 3, 2026 and Feb 3, 2026.

Lowest$197.87Baptist Health Deaconess Madisonville
Median$197.87half pay less
Highest$197.87in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Baptist Health Deaconess Madisonville Madisonville, KY · (270) 825-5100 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $197.87 $421.00 $143.29–$200.29 53% Feb 3, 2026
source file

Inpatient: lowest $197.87, median $197.87, highest $197.87.

As an outpatient, the same code is billed by 1 facility here, median $197.87 — 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 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 the highest-level office or outpatient visit for a new patient, with high complexity decision making or at least 60 minutes of total time on the visit date. It is used for serious or complicated problems.

What the price covers

The price covers the clinician's visit. Tests, procedures and any hospital facility fee are billed separately; very long visits can add a prolonged-service code.