Doctor visits and therapy CPT 99204 Kentucky Outpatient

New patient visit, 45 min cost in Kentucky

In Kentucky, 48 hospitals publish a cash price for new patient office visit, about 45 minutes: from $67.50 to $1,185.38, with a median of $186.00. The lowest price is at Ohio County Hospital (Hartford). The highest price is 17.6× the lowest.

  • The median here, $186.00, is 20% below the US median of $233.31.
  • That is 1.4× Medicare's 2026 national rate for the same service ($136.02).
  • Kentucky ranks 12th of 51 states by median, cheapest first.
  • 3 of 48 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 99204. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 9, 2026. See them on a map

Lowest$67.50Ohio County Hospital
Median$186.00half of hospitals charge less
Highest$1,185.38in Kentucky
Lowest saves$118.50vs the median

Hospitals in Kentucky, cheapest first

HospitalCash priceList priceFile date
Ohio County Hospital lowest Hartford · Hartford, KY OFFICE VISIT- NEW PT LEVEL 4 P $67.50 $135.00 Jan 12, 2026
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UofL Health -Shelbyville Shelbyville · Louisville/Jefferson County, KY-IN LEVEL 4 INITIAL VISIT $69.92 $184.00 Jan 1, 2026
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University of Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN OFFICE OUTPT NEW LVL 4 $92.16 $384.00 Jan 1, 2026
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Wayne County Hospital Monticello · Monticello, KY NEW PT EXTENDED EXAM $99.74 $153.45 Sep 14, 2026
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Norton Audubon Hospital Louisville · Louisville, KY HB NEW OP VISIT W/RD 47-60 MIN $103.00 $515.00 Feb 11, 2026
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Norton Brownsboro Hospital Louisville · Louisville/Jefferson County, KY-IN HB NEW OP VISIT W/RD 47-60 MIN $103.00 $515.00 Feb 11, 2026
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Norton Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB NEW OP VISIT W/RD 47-60 MIN $103.00 $515.00 Feb 11, 2026
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Norton Hospital Louisville · Louisville/Jefferson County, KY-IN HB NEW OP VISIT W/RD 47-60 MIN $103.00 $515.00 Feb 11, 2026
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Norton West Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN HB NEW OP VISIT W/RD 47-60 MIN $103.00 $515.00 Feb 11, 2026
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Norton Women's and Kosair Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB NEW OP VISIT W/RD 47-60 MIN $103.00 $515.00 Feb 13, 2026
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Livingston Hospital and Healthcare Services Salem · Paducah, KY-IL 99204 Office/Outpatient Visit - New Patient, Level 4 (45 min) $106.80 $178.00 Aug 25, 2026
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Highlands Arh Regional Medical Center Prestonsburg · Pikeville, KY OFFICE VISIT LEVEL 4 NEW $109.20 $182.00 Jan 1, 2026
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Middlesboro Arh Hospital Middlesboro · Middlesborough, KY OFFICE VISIT LEVEL 4 NEW $109.20 $182.00 Jan 1, 2026
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Tug Valley Appalachian Regional Healthcare Regional Medical Center South Williamson · Pikeville, KY OFFICE VISIT LEVEL 4 NEW $109.20 $182.00 Jan 1, 2026
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Breckinridge Memorial Hospital Hardinsburg · Hardinsburg, KY New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $117.50 $235.00 Jul 16, 2026
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Saint Joseph London London · Corbin, KY HC Clinic Visit Level 4 New $127.73 $364.00 Sep 30, 2026
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Saints Mary & Elizabeth Hospital Louisville · Louisville/Jefferson County, KY-IN OFFICE OUTPT NEW LVL 4 $138.24 $384.00 Jan 1, 2026
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Carroll County Memorial Hospital Carrollton · Carrollton, KY OFFICE OUTPATIENT $152.40 $254.00 Aug 17, 2026
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Saint Joseph Mount Sterling Mt. Sterling · Mount Sterling, KY HC Clinic Visit Level 4 New $163.92 $434.00 Sep 30, 2026
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King's Daughters' Medical Center Ashland · Huntington-Ashland, WV-KY-OH HCHG NEW PATIENT LEVE IV $172.75 $431.87 Sep 25, 2026
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UofL Health - Jewish Hospital and Mary & Elizabeth Hospital Louisville · Louisville/Jefferson County, KY-IN LEVEL 4 INITIAL VISIT $172.80 $384.00 Jan 1, 2026
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Casey County Hospital Liberty · Liberty, KY NEW PT OFFICE 45MIN $176.00 $220.00 Mar 31, 2026
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Meadowview Regional Medical Center Maysville · Maysville, KY Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or excee $182.55 $456.38 Jul 10, 2026
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McDowell Arh Hospital MC Dowell · Pikeville, KY OFFICE VISIT LEVEL 4 NEW $186.00 $310.00 Jan 1, 2026
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Whitesburg Arh Hospital Whitesburg · Whitesburg, KY OFFICE VISIT LEVEL 4 NEW $186.00 $310.00 Jan 1, 2026
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Harrison Memorial Hospital Cynthiana · Cynthiana, KY NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $203.70 $291.00 Mar 31, 2026
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Hazard Appalachian Regional Healthcare Regional Medical Center Hazard · Hazard, KY OFFICE VISIT LEVEL 4 NEW $204.60 $341.00 Jan 1, 2026
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Paintsville Arh Hospital Paintsville · Paintsville, KY OFFICE VISIT LEVEL 4 NEW $204.60 $341.00 Jan 1, 2026
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T J Samson Community Hospital Glasgow · Glasgow, KY New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $213.20 $328.00 Oct 21, 2026
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Tj Health Columbia Columbia · Columbia, KY New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $213.20 $328.00 Sep 1, 2026
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Rockcastle County Hospital Mount Vernon · Richmond-Berea, KY New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $213.56 $281.00 Jul 1, 2026
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CHI Saint Joseph Flaget Memorial Hospital Bardstown · Louisville/Jefferson County, KY-IN HC Clinic Visit Level 4 New $217.33 $515.00 Sep 30, 2026
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Pineville Community Health Center Pineville · Middlesborough, KY New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $220.00 $220.00 Jan 24, 2026
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Saint Joseph East Lexington · Lexington-Fayette, KY HC Clinic Visit Level 4 New $220.87 $526.00 Sep 30, 2026
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Bluegrass Community Hospital Versailles · Lexington-Fayette, KY Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or excee $226.80 $567.00 Jul 10, 2026
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CHI Saint Joseph Berea Nf Berea · Richmond-Berea, KY HC Clinic Visit Level 4 New $237.89 $491.00 Sep 30, 2026
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Continuing Care Hospital Lexington · Lexington-Fayette, KY HC CLINIC VISIT LEVEL 4 NEW $248.31 $560.00 Sep 30, 2026
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Saint Joseph Hospital Lexington · Lexington-Fayette, KY HC Clinic Visit Level 4 New $249.80 $526.00 Sep 30, 2026
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Spring View Hospital Lebanon · Lebanon, KY Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or excee $295.74 $739.34 Jul 10, 2026
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Marcum and Wallace Memorial Hospital Irvine · Richmond-Berea, KY HC New Pt, Outpt Visit Level 4 $296.40 $494.00 Apr 1, 2026
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Jackson Purchase Medical Center Mayfield · Mayfield, KY Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or excee $337.12 $842.81 Jul 10, 2026
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St Claire Medical Center Morehead · Morehead, KY New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $374.25 $499.00 Jun 18, 2026
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Clark Regional Medical Center Winchester · Lexington-Fayette, KY Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or excee $392.49 $981.22 Jul 10, 2026
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AdventHealth Manchester Manchester · Corbin, KY HC OFFICE OUTPATIENT NEW PT MOD LVL MDM $627.47 $627.47 Apr 1, 2026
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Harlan Arh Hospital Harlan · Harlan, KY OFFICE VISIT LEVEL 4 NEW $662.40 $1,104.00 Jan 1, 2026
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Mercy Health Lourdes Hospital Paducah · Paducah, KY-IL HC New Pt, E/M Level 4 $714.60 $1,191.00 Apr 1, 2026
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Georgetown Community Hospital Georgetown · Lexington-Fayette, KY Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or excee $944.90 $2,362.25 Jul 10, 2026
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Frankfort Regional Medical Center Frankfort · Frankfort, KY OP VISIT LEVEL 4 NP $1,185.38 $1,185.38 Sep 1, 2026
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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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Louisville/Jefferson County, KY-IN 10 $69.92 $103.00
Lexington-Fayette, KY 6 $220.87 $249.06
Pikeville, KY 3 $109.20 $109.20
Richmond-Berea, KY 3 $213.56 $237.89
Corbin, KY 2 $127.73 $377.60
Middlesborough, KY 2 $109.20 $164.60
Paducah, KY-IL 2 $106.80 $410.70
Carrollton, KY 1 $152.40 $152.40
Columbia, KY 1 $213.20 $213.20
Cynthiana, KY 1 $203.70 $203.70
Frankfort, KY 1 $1,185.38 $1,185.38
Glasgow, KY 1 $213.20 $213.20
Hardinsburg, KY 1 $117.50 $117.50
Harlan, KY 1 $662.40 $662.40
Hartford, KY 1 $67.50 $67.50
Hazard, KY 1 $204.60 $204.60
Huntington-Ashland, WV-KY-OH 1 $172.75 $172.75
Lebanon, KY 1 $295.74 $295.74
Liberty, KY 1 $176.00 $176.00
Louisville, KY 1 $103.00 $103.00
Maysville, KY 1 $182.55 $182.55
Monticello, KY 1 $99.74 $99.74
Morehead, KY 1 $374.25 $374.25
Mayfield, KY 1 $337.12 $337.12
Mount Sterling, KY 1 $163.92 $163.92
Paintsville, KY 1 $204.60 $204.60
Whitesburg, KY 1 $186.00 $186.00
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What new patient visit, 45 min is, what the price covers and why prices differ: New patient visit, 45 min explained.

New patient office visit, about 45 minutes in other states

Median cash price across the state's hospitals.