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PricedCare

New patient office visit (about 45 minutes) in Boston, MA-NH costs $190 to $477. Here's every hospital's price.

5 hospitals in the Boston-Cambridge-Newton, MA-NH metro area publish a cash price for new patient office visit (about 45 minutes) (CPT 99204). We read their files every month so you don't have to.

Across the Boston-Cambridge-Newton, MA-NH metro area, 5 hospitals list a cash price for new patient office visit (about 45 minutes) (CPT 99204). The lowest is $190 at Cambridge Health Alliance, the median is $240 and the highest is $477 at Boston Medical Center. The most expensive hospital lists 2.5 times the cheapest for the same code.

The Boston, MA-NH median of $240 is 18% below the national median of $291 across 374 US hospitals with a cash price for this code.

7 of these hospitals also publish the rates they negotiated with insurers, from $23 to $900. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between January 2026 and April 2026. 34 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$190
lowest cash price in Boston, MA-NH
Cambridge Health Alliance · 11 mi
$50 below the median
$240
median cash price
5 hospitals
2.5×
highest ÷ lowest
same procedure, same metro
5/41
hospitals with a cash price
34 don't · see who

Sorted by cash price

Hospital facility fee only
1
Cambridge Health Alliance

Cambridge · 11 mi · File Mar 2026

$190
list $190
2
Boston Medical Center-Brighton

Brighton · 13 mi · File Mar 2026

$191
list $425 · lowest of 2 lines
3
Lowell General Hospital

Lowell · 19 mi · File Apr 2026

$214
list $305 · lowest of 3 lines
4
Franciscan Children's Hospital & Rehab Center

Brighton · 13 mi · File Apr 2026

$240
list $300
5
Tufts Medical Center

Boston · 12 mi · File Apr 2026

$396
list $565 · lowest of 3 lines
6
Boston Medical Center

Boston · 13 mi · File Mar 2026

$477
list $1,059 · lowest of 2 lines
7
Signature Healthcare Brockton Hospital

Brockton · 30 mi · File Jan 2026

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1

What's in the price

The hospital facility fee for CPT 99204. The doctor, anesthesia and lab work usually bill separately.

2

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.

3

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 Boston, MA-NH without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask