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PricedCare

New patient office visit (about 45 minutes) in Philadelphia, PA-NJ-DE-MD costs $100 to $1,330. Here's every hospital's price.

8 hospitals in the Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metro area, 8 hospitals list a cash price for new patient office visit (about 45 minutes) (CPT 99204). The lowest is $100 at Pottstown Hospital, the median is $115 and the highest is $1,330 at Children's Hospital of Philadelphia. The most expensive hospital lists 13 times the cheapest for the same code.

The Philadelphia, PA-NJ-DE-MD median of $115 is 60% below the national median of $291 across 374 US hospitals with a cash price for this code.

20 of these hospitals also publish the rates they negotiated with insurers, from $29 to $4,611. 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 September 2025 and September 2026. 28 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.

$100
lowest cash price in Philadelphia, PA-NJ-DE-MD
Pottstown Hospital · 29 mi
$16 below the median
$115
median cash price
8 hospitals
13×
highest ÷ lowest
same procedure, same metro
8/51
hospitals with a cash price
28 don't · see who

Sorted by cash price

Hospital facility fee only
1
Pottstown Hospital

Pottstown · 29 mi · File Jun 2026

$91
list $363 · lowest of 24 lines
2
Phoenixville Hospital

Phoenixville · 19 mi · File Jun 2026

$100
list $398 · lowest of 24 lines
3
Holy Redeemer Hospital and Medical Center

Meadowbrook · 19 mi · File Sep 2025

$114
list $284 · lowest of 10 lines
4
Virtua Our Lady of Lourdes Hospital

Camden · 12 mi · File Apr 2026

$115
list $1,152 · lowest of 2 lines
5
Virtua Mount Holly Hospital

Mount Holly · 28 mi · File Apr 2026

$115
list $1,152
6
Virtua Willingboro Hospital

Willingboro · 25 mi · File Apr 2026

$115
list $1,152
7
Nemours Children's Hospital, Delaware

Wilmington · 15 mi · File Mar 2026

$144
list $144 · lowest of 3 lines
8
St Francis Hospital

Wilmington · 17 mi · File Mar 2026

$285
list $285 · lowest of 2 lines
9
St Mary Medical Center

Langhorne · 29 mi · File Mar 2026

$285
list $285 · lowest of 2 lines
10
Mercy Catholic Medical Center- Mercy Fitzgerald

Darby · 3 mi · File Mar 2026

$360
list $360 · lowest of 4 lines
11
Shriners Hospitals for Children - Philadelphia

Philadelphia · 11 mi · File Mar 2026

$419
list $419 · lowest of 2 lines
12
Children's Hospital of Philadelphia

Philadelphia · 7 mi · File Dec 2025

$1,330
list $1,330
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 Philadelphia, PA-NJ-DE-MD 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