Doctor visits and therapy CPT 99205 Outpatient

New patient visit, 60 min cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 11 hospitals list a cash price for new patient office visit, about 60 minutes: from $49.20 to $1,293.83, with a median of $862.04. The lowest listed price is at Metro Nashville General Hospital — $812.84 less than the median here. Across Tennessee, the median is $128.10 at 53 hospitals.

  • The median here, $862.04, is 191% above the US median of $296.05.
  • That is 6.3× Medicare's 2026 national rate for the same service ($136.02).
  • Nashville, TN ranks 2nd of 2 metro areas in Tennessee by median, cheapest first.
  • 7 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 11 facilities across 9 cities for code 99205, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Jul 10, 2026 and Sep 1, 2026.

Lowest$49.20Metro Nashville General Hospital
Median$862.04half of hospitals charge less
Highest$1,293.83in this market
Difference26.3×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $49.20Highest $1,293.83

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Metro Nashville General Hospital lowest Nashville, TN · (615) 341-4000 99205 Office Visit New Pt. Level 5 File of Sep 1, 2026 · source file $49.20 $82.00 — 40%
Metro Nashville General Hospital Nashville, TN · (615) 341-4000 99205 New patient visit- level 5+1 more line at this price File of Sep 1, 2026 · source file $126.00 $210.00 — 40%
Sumner Regional Medical Center Gallatin, TN · (615) 328-8888 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. File of Jul 10, 2026 · source file $129.12 $554.18 $166.25–$554.18 77%
Metro Nashville General Hospital Nashville, TN · (615) 341-4000 Bill Only OFC/OUTPT E&M NEW HI 60 MIN File of Sep 1, 2026 · source file $154.80 $258.00 — 40%
Metro Nashville General Hospital Nashville, TN · (615) 341-4000 99205 OFFICE/OUTPATIENT NEW PATIENT 60-74 MIN CHARGE File of Sep 1, 2026 · source file $162.60 $271.00 — 40%
Riverview Regional Medical Center Carthage, TN · (615) 735-9815 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. File of Jul 10, 2026 · source file $180.66 $554.18 $88.67–$554.18 67%
Trousdale Medical Center Hartsville, TN · (615) 374-2221 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. File of Jul 10, 2026 · source file $280.97 $554.18 $199.50–$554.18 49%
Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 OP VISIT LEVEL 5 NP File of Sep 1, 2026 · source file $779.00 $779.00 $116.85–$779.00 —
Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 OP VISIT LEVEL 5 NP+1 more line at this price File of Sep 1, 2026 · source file $862.04 $862.04 $129.31–$844.80 —
Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 OP VISIT LEVEL 5 NP File of Sep 1, 2026 · source file $964.42 $964.42 $144.66–$848.69 —
Tristar Hendersonville Medical Center Hendersonville, TN · (615) 338-1000 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u +1 more line at this price File of Sep 1, 2026 · source file $1,093.19 $1,093.19 $163.98–$1,005.73 —
Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u +1 more line at this price File of Sep 1, 2026 · source file $1,093.21 $1,093.21 $147.06–$1,005.75 —
Tristar Southern Hills Medical Center Antioch, TN · (615) 781-4000 OP VISIT LEVEL 5 NP+1 more line at this price File of Sep 1, 2026 · source file $1,114.54 $1,114.54 $167.18–$980.80 —
Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 OP VISIT LEVEL 5 NP File of Sep 1, 2026 · source file $1,293.83 $1,293.83 $194.07–$1,190.32 —
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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $49.20, median $862.04, highest $1,293.83 — a 26.3× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $49.20. 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 3 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.