New patient office visit (about 45 minutes) in Binghamton, NY: hospital prices
One hospital in the Binghamton, NY metro area prices CPT 99204 in its files, but fewer than three list a cash price, so we show the rows without a ranking.
One hospital in the Binghamton, NY metro area lists new patient office visit (about 45 minutes) (CPT 99204) in its price file, but only as a list price or negotiated insurer rates, not as a cash price. Hospitals must publish a discounted cash price for every shoppable service; where it is missing you can still ask for one by phone.
Sorted by cash price
Hospital facility fee onlyBinghamton · 8 mi · File Apr 2026
What's in the price
The hospital facility fee for CPT 99204. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 99204, in writing, and whether it covers facility, physician and anesthesia."
About new patient office visit (about 45 minutes)
CPT 99204 is a new-patient office visit of moderate complexity, around 45 minutes: several problems, a chronic condition being evaluated, or a decision about prescription treatment. It is the most commonly billed new-patient level in specialty practices.
What the price covers
When listed by a hospital, this is the price at a hospital-owned clinic or outpatient department, which may add a facility fee on top of the clinician's professional fee. Tests, imaging and procedures are separate.
Why prices vary
The same 45 minutes with a physician can cost two or three times more at a hospital-owned practice than at an independent one, mostly because of the facility fee. Within hospitals, prices follow system size. Cash prices are usually well below gross charges.
Questions to ask
- What is the self-pay price for 99204, and is there a facility fee?
- Is the visit at a hospital outpatient department or an independent office?
- What level will be billed if the visit takes longer or is more complex?
Hospitals in Binghamton, NY without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Our Lady of Lourdes Memorial Hospital, INCFile could not be read