Doctor visits and therapy CPT 99205 Outpatient

New patient visit, 60 min cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 11 hospitals list a cash price for new patient office visit, about 60 minutes: from $144.00 to $1,587.25, with a median of $144.40. The lowest listed price is at Nemours Children's Hospital, Delaware — $0.40 less than the median here. Across Pennsylvania, the median is $521.10 at 68 hospitals.

  • The median here, $144.40, is 51% below the US median of $296.05.
  • That is 1.1× Medicare's 2026 national rate for the same service ($136.02).
  • Philadelphia, PA has the lowest median of 2 metro areas in Pennsylvania with at least 10 hospitals pricing this code.
  • 3 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 26, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 21, 2026.

Lowest$144.00Nemours Children's Hospital, Delaware
Median$144.40half of hospitals charge less
Highest$1,587.25in this market
Difference11.0×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $144.00Highest $1,587.25

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Nemours Children's Hospital, Delaware lowest Wilmington, DE · (302) 651-4000 New Office Visit Level Five+1 more line at this price File of Mar 10, 2026 · source file $144.00 $144.00 — —
Virtua West Jersey Hospital - Voorhees Voorhees, NJ · (856) 247-3000 HC Medication Management New Patient 60 - 74 Minutes+1 more line at this price File of Jun 1, 2026 · source file $144.40 $1,444.00 $0.01 90%
Virtua West Jersey Hospital - Marlton Voorhees, NJ · (856) 247-3000 HC Medication Management New Patient 60 - 74 Minutes File of Apr 1, 2026 · source file $144.40 $1,444.00 $0.01 90%
Virtua Memorial Hospital Mount Holly, NJ · (609) 267-0700 HC Medication Management New Patient 60 - 74 Minutes File of Apr 1, 2026 · source file $144.40 $1,444.00 $0.01 90%
Virtua Willingboro Hospital Willinboro, NJ · (609) 835-2900 HC Medication Management New Patient 60 - 74 Minutes File of Apr 1, 2026 · source file $144.40 $1,444.00 $0.01 90%
Virtua Our Lady of Lourdes Camden, NJ · (856) 886-5373 HC Medication Management New Patient 60 - 74 Minutes File of Apr 1, 2026 · source file $144.40 $1,444.00 $0.01 90%
Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 E/M level 5 - New Patient - MOU+2 more lines at this price File of Sep 21, 2026 · source file $214.22 $357.02 $92.83–$368.49 40%
Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 E & M New Pt Complex - WCC+1 more line at this price File of Sep 21, 2026 · source file $231.84 $386.39 $100.46–$368.49 40%
Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 OFFICE O/P NEW HI 60 MIN File of Mar 19, 2026 · source file $620.10 $620.10 $12.00–$232.46 —
St Luke's Hospital - Upper Bucks Campus Quakertown, PA · (267) 985-1000 HB OFFICE/OUTPATIENT VISIT NEW (COMPREHENSIVE) File of Feb 26, 2026 · source file $1,163.70 $1,293.00 $117.54–$1,070.86 10%
St Luke's Hospital - Grand View Campus Sellersville, PA · (215) 453-4000 HB OFFICE/OUTPATIENT VISIT NEW (COMPREHENSIVE) File of Feb 26, 2026 · source file $1,163.70 $1,293.00 $141.05–$13,517.10 10%
The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 HB Clinic-New/Level 5 File of Dec 31, 2025 · source file $1,587.25 $1,587.25 $261.90–$1,428.53 —
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 $144.00, median $144.40, highest $1,587.25 — a 11.0× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $688.96. 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 2 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 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.