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PricedCare

New patient office visit (about 45 minutes) in Duluth, MN-WI costs $163 to $183. Here's every hospital's price.

4 hospitals in the Duluth, MN-WI 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 Duluth, MN-WI metro area, 4 hospitals list a cash price for new patient office visit (about 45 minutes) (CPT 99204). The lowest is $163 at Essentia Health Virginia, the median is $172 and the highest is $183 at Essentia Health Moose Lake.

The Duluth, MN-WI median of $172 is 25% below the national median of $230 across 1000 US hospitals with a cash price for this code.

4 of these hospitals also publish the rates they negotiated with insurers, from $60 to $248. 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 January 2026. 6 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.

$163
lowest cash price in Duluth, MN-WI
Essentia Health Virginia · 16 mi
$8 below the median
$172
median cash price
4 hospitals
1.1×
highest ÷ lowest
same procedure, same metro
4/10
hospitals with a cash price
6 don't · see who

Sorted by cash price

Hospital facility fee only
1
Essentia Health Virginia

Virginia · 16 mi · File Jan 2026

$163
list $260 · lowest of 2 lines
2
Essentia Health St Mary's Medical Center

Duluth · 39 mi · File Jan 2026

$172
list $260 · lowest of 2 lines
3
Essentia Health Northern Pines Medical Center

Aurora · 15 mi · File Jan 2026

$183
list $248 · lowest of 2 lines
4
Essentia Health Moose Lake

Moose Lake · 64 mi · File Jan 2026

$183
list $248 · lowest of 2 lines
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 Duluth, MN-WI 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