Doctor visits and therapy CPT 99205 Outpatient

New patient visit, 60 min cost in Pittsburgh, PA

In Pittsburgh, PA, 17 hospitals list a cash price for new patient office visit, about 60 minutes: from $87.60 to $694.17, with a median of $456.60. The lowest listed price is at Monogahela Valley Hospital — $369.00 less than the median here. Across Pennsylvania, the median is $521.10 at 68 hospitals.

  • The median here, $456.60, is 54% above the US median of $296.05.
  • That is 3.4× Medicare's 2026 national rate for the same service ($136.02).
  • Pittsburgh, PA ranks 2nd of 2 metro areas in Pennsylvania by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

Cash prices at 17 facilities across 12 cities for code 99205, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 7, 2026; the hospital files themselves were last updated between Dec 17, 2025 and Oct 28, 2026.

Lowest$87.60Monogahela Valley Hospital
Median$456.60half of hospitals charge less
Highest$694.17in this market
Difference7.9×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 Pittsburgh, PA.

median
Lowest $87.60Highest $694.17

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Monogahela Valley Hospital lowest Monongahela, PA · (724) 258-1000 NEW PT HIGHLYCOMPLEX OFFICE S File of Feb 2, 2026 · source file $87.60 $146.00 $39.27–$178.92 40%
UPMC Washington Washington, PA · (724) 225-7000 ANNUAL PHYSICAL EXAM IV File of Mar 6, 2026 · source file $91.70 $131.00 $44.54–$507.41 30%
UPMC Washington Washington, PA · (724) 225-7000 PREPLACEMENT EXAM V File of Mar 6, 2026 · source file $95.55 $136.50 $46.41–$507.41 30%
UPMC Washington Washington, PA · (724) 225-7000 MANAGEMENT HEALTH EXAM File of Mar 6, 2026 · source file $141.40 $202.00 $68.68–$507.41 30%
Highlands Hospital Connellsville, PA · (724) 628-1500 FAC - INITIAL OFFICE VIST LVL 5 File of Feb 2, 2026 · source file $178.20 $297.00 $100.09–$231.66 40%
Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 LEVEL V NEW PATIENT+1 more line at this price File of Feb 2, 2026 · source file $219.60 $366.00 $98.45–$448.53 40%
Excela Health - Frick Hospital Mt Plesant, PA · (724) 547-1500 VISIT 60 MIN NEW PT HIGH File of Dec 17, 2025 · source file $260.40 $434.00 $8.71–$41.71 40%
Excela Health Westmoreland Regional Hospital Greeensburg, PA · (724) 832-4000 VISIT 60 MIN NEW PT HIGH File of Dec 17, 2025 · source file $260.40 $434.00 $72.00–$355.70 40%
Excela Health Latrobe Hospital Latrobe, PA · (724) 832-4000 VISIT 60 MIN NEW PT HIGH File of Dec 17, 2025 · source file $260.40 $434.00 $72.00–$355.70 40%
Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 LEVEL V NEW PATIENT-60 MIN File of Feb 2, 2026 · source file $314.40 $524.00 $140.96–$642.16 40%
UPMC Presbyterian Pittsburgh, PA · (412) 647-2345 CLINIC VISIT NEW 99205+1 more line at this price File of Mar 6, 2026 · source file $362.40 $604.00 $36.08–$756.20 40%
UPMC Mercy Pittsburgh, PA · (412) 232-8111 CLINIC VISIT NEW 99205 File of Mar 6, 2026 · source file $377.40 $629.00 $36.08–$566.10 40%
UPMC Magee-Womens Hospital Pittsburgh, PA · (412) 641-4010 HC CLINIC VISIT NEW 99205+1 more line at this price File of Mar 6, 2026 · source file $456.60 $761.00 $36.08–$700.12 40%
UPMC St Margaret Pittsburgh, PA · (412) 784-4000 CLINIC VISIT NEW 99205 File of Mar 6, 2026 · source file $468.00 $780.00 $36.08–$695.27 40%
UPMC East Monroeville, PA · (412) 357-3000 CLINIC VISIT NEW 99205 File of Mar 6, 2026 · source file $516.00 $860.00 $36.08–$695.27 40%
UPMC Jameson New Castle, PA · (724) 656-4100 CLINIC VISIT NEW 99205 File of Mar 6, 2026 · source file $526.20 $877.00 $29.68–$771.76 40%
UPMC Childrens Hospital of Pittsburgh Pittsburgh, PA · (412) 692-5325 CLINIC VISIT NEW 99205 File of Mar 6, 2026 · source file $585.60 $976.00 $63.91–$878.40 40%
UPMC McKeesport McKeesport, PA · (412) 664-2000 CLINIC VISIT NEW 99205 File of Mar 6, 2026 · source file $621.00 $1,035.00 $36.08–$879.75 40%
Allegheny Valley Hospital Natrona Heights, PA · (412) 224-5100 HC NEW PT VISIT LEVEL 5 File of Oct 28, 2026 · source file $625.24 $812.00 $20.80–$472.50 23%
UPMC Passavant - McCandless Pittsburgh, PA · (412) 367-6700 HC CLINIC VISIT NEW 99205 File of Mar 7, 2026 · source file $663.60 $1,106.00 $36.08–$940.10 40%
Jefferson Regional Medical Center Jefferson Hills, PA · (412) 469-5000 HC NEW PT VISIT LEVEL 5 File of Oct 28, 2026 · source file $694.17 $857.00 $20.80–$472.50 19%
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 $87.60, median $456.60, highest $694.17 — a 7.9× difference within the same market.

As an inpatient, the same code is billed by 17 facilities here, median $456.60. 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 14 of 17 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.