New patient visit, 45 min cost in Virginia
In Virginia, 38 hospitals publish a cash price for new patient office visit, about 45 minutes: from $50.14 to $1,374.00, with a median of $162.30. The lowest price is at Dickenson Community Hospital (Clintwood) and 1 other hospital. The highest price is 27.4× the lowest.
- The median here, $162.30, is 30% below the US median of $233.31.
- That is 1.2× Medicare's 2026 national rate for the same service ($136.02).
- Virginia ranks 9th of 51 states by median, cheapest first.
- 7 of 38 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 1, 2026. See them on a map
Lowest$50.14Dickenson Community Hospital + 1 more
Median$162.30half of hospitals charge less
Highest$1,374.00in Virginia
Lowest saves$112.16vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Dickenson Community Hospital lowest Clintwood · Clintwood, VA HC NEW VISIT LEVEL 4 | $50.14 | $218.00 | Mar 23, 2026 source file |
| Lee County Community Hospital lowest Pennington Gap · Pennington Gap, VA HC NEW VISIT LEVEL 4 | $50.14 | $218.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC NEW VISIT LEVEL 4 | $51.00 | $340.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC NEW VISIT LEVEL 4 | $51.00 | $340.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC NEW VISIT LEVEL 4 | $51.00 | $340.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC NEW VISIT LEVEL 4 | $51.00 | $340.00 | Mar 23, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC New Pt, E/M Level 4 | $145.80 | $243.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC New Pt, Outpt Visit Level 4 | $145.80 | $243.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC New Pt, Outpt Visit Level 4 | $145.80 | $243.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC New Pt, E/M Level 4 | $145.80 | $243.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC New Pt, Outpt Visit Level 4 W/ Procedure | $151.20 | $252.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC New Pt, E/M Level 4 W/ Procedure | $151.20 | $252.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC New Pt, Outpt Visit Level 4 W/ Procedure | $151.20 | $252.00 | Apr 1, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB VISIT OP NEW LEVEL 4 ADDL SERV L AND D | $157.50 | $450.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB VISIT OP NEW LEVEL 4 L AND D | $157.50 | $450.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB VISIT OP NEW LEVEL 4 | $157.50 | $450.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB VISIT OP NEW LEVEL 4 L AND D | $157.50 | $450.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB VISIT OP NEW LEVEL 4 ADDL SERV L AND D | $157.50 | $450.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB VISIT OP NEW LEVEL 4 | $157.50 | $450.00 | Dec 15, 2025 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA OFFICE VISIT NEW PT LEVEL 4 | $167.09 | $238.70 | Mar 25, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc New Pt, Outpt Visit Level 4 | $194.43 | $324.05 | Jul 1, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC E/M New Patient Level 4 | $211.50 | $423.00 | Mar 11, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC New Pt, Outpt Visit Level 4 | $267.00 | $445.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC New Pt, Outpt Visit Level 4 | $288.90 | $963.00 | Apr 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV 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 | $314.00 | $785.00 | Jul 14, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC VISIT URG NEW LEVEL IV | $329.40 | $366.00 | Mar 17, 2026 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA 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 | $357.66 | $894.14 | Jul 10, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA 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 | $399.42 | $998.54 | Jul 14, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA OP VISIT LEVEL 4 NP | $406.00 | $406.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA OP VISIT LEVEL 4 NP | $406.00 | $406.00 | Sep 1, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA 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 | $409.94 | $1,024.86 | Jul 10, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA 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 | $495.60 | $1,239.00 | Jul 11, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA OP VISIT LEVEL 4 NP | $561.00 | $561.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA OP VISIT LEVEL 4 NP | $561.00 | $561.00 | Sep 1, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA 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 | $596.40 | $1,491.00 | Jul 10, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA 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. Wh | $703.00 | $703.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA OP VISIT LEVEL 4 NP | $1,048.00 | $1,048.00 | Sep 1, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA OP VISIT LEVEL 4 NP | $1,374.00 | $1,374.00 | Sep 1, 2026 source file |
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 area | Hospitals | Lowest | Median |
|---|---|---|---|
| Richmond, VA | 10 | $145.80 | $347.45 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 6 | $151.20 | $172.82 |
| Roanoke, VA | 4 | $157.50 | $157.50 |
| Blacksburg-Christiansburg-Radford, VA | 2 | $157.50 | $430.25 |
| Bluefield, WV-VA | 2 | $157.50 | $278.46 |
| Big Stone Gap, VA | 1 | $51.00 | $51.00 |
| Clintwood, VA | 1 | $50.14 | $50.14 |
| Danville, VA | 1 | $495.60 | $495.60 |
| Galax, VA | 1 | $409.94 | $409.94 |
| Hot Springs, VA | 1 | $167.09 | $167.09 |
| Kilmarnock, VA | 1 | $267.00 | $267.00 |
| Kingsport-Bristol, TN-VA | 1 | $51.00 | $51.00 |
| Lebanon, VA | 1 | $51.00 | $51.00 |
| Lexington, VA | 1 | $157.50 | $157.50 |
| Marion, VA | 1 | $51.00 | $51.00 |
| Martinsville, VA | 1 | $596.40 | $596.40 |
| Pennington Gap, VA | 1 | $50.14 | $50.14 |
| Wytheville, VA | 1 | $357.66 | $357.66 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $314.00 | $314.00 |
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
- Alabama$254.50
- Alaska$647.00
- Arizona$198.07
- Arkansas$148.72
- California$244.50
- Colorado$365.60
- Connecticut$335.00
- Delaware$271.32
- District of Columbia$250.96, 3 hospitals
- Florida$643.82
- Georgia$199.50
- Hawaii$280.35
- Idaho$196.95
- Illinois$296.00
- Indiana$189.00
- Iowa$232.40
- Kansas$184.00
- Kentucky$186.00
- Louisiana$91.23
- Maine$209.22
- Maryland$251.80
- Massachusetts$352.43
- Michigan$118.15
- Minnesota$171.60
- Mississippi$158.40
- Missouri$214.50
- Montana$236.81
- Nebraska$297.99
- Nevada$259.00
- New Hampshire$213.55
- New Jersey$147.69
- New Mexico$290.44
- New York$298.00
- North Carolina$243.60
- North Dakota$322.20
- Ohio$121.20
- Oklahoma$228.15
- Oregon$284.70
- Pennsylvania$300.00
- Puerto Rico$456.96
- Rhode Island$351.40
- South Carolina$224.05
- South Dakota$256.50
- Tennessee$93.06
- Texas$292.50
- Utah$524.63
- Vermont$251.11
- Washington$252.20
- West Virginia$91.75
- Wisconsin$224.44
- Wyoming$245.25
Median cash price across the state's hospitals.