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PricedCare

New patient office visit (about 45 minutes) in Pittsburgh, PA costs $81 to $510. Here's every hospital's price.

13 hospitals in the Pittsburgh, PA 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 Pittsburgh, PA metro area, 13 hospitals list a cash price for new patient office visit (about 45 minutes) (CPT 99204). The lowest is $81 at Penn Highlands Mon Valley, the median is $303 and the highest is $510 at UPMC Mckeesport Hospital. The most expensive hospital lists 6.3 times the cheapest for the same code.

The Pittsburgh, PA median of $303 is in line with the national median of $291 across 374 US hospitals with a cash price for this code.

13 of these hospitals also publish the rates they negotiated with insurers, from $28 to $726. 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 February 2026 and March 2026. 18 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.

$81
lowest cash price in Pittsburgh, PA
Penn Highlands Mon Valley · 20 mi
$222 below the median
$303
median cash price
13 hospitals
6.3×
highest ÷ lowest
same procedure, same metro
13/31
hospitals with a cash price
18 don't · see who

Sorted by cash price

Hospital facility fee only
1
Penn Highlands Mon Valley

Monongahela · 20 mi · File Feb 2026

$81
list $135 · lowest of 10 lines
2
Heritage Valley Beaver

Beaver · 29 mi · File Mar 2026

$134
list $495 · lowest of 2 lines
3
Heritage Valley Sewickley

Sewickley · 17 mi · File Mar 2026

$134
list $495 · lowest of 2 lines
4
Penn Highlands Connellsville

Connellsville · 34 mi · File Feb 2026

$178
list $297 · lowest of 2 lines
5
UPMC Mercy

Pittsburgh · 7 mi · File Mar 2026

$300
list $500 · lowest of 2 lines
6
UPMC Presbyterian Shadyside

Pittsburgh · 5 mi · File Mar 2026

$300
list $500 · lowest of 4 lines
7
UPMC Passavant

Pittsburgh · 11 mi · File Mar 2026

$303
list $505 · lowest of 2 lines
8
Magee Womens Hospital of UPMC Health System

Pittsburgh · 6 mi · File Mar 2026

$379
list $631 · lowest of 2 lines
9
UPMC St Margaret

Pittsburgh · 2 mi · File Mar 2026

$389
list $648 · lowest of 2 lines
10
UPMC East

Monroeville · 6 mi · File Mar 2026

$425
list $709 · lowest of 2 lines
11
UPMC Jameson

New Castle · 45 mi · File Mar 2026

$434
list $723 · lowest of 2 lines
12
UPMC Children's Hospital of Pittsburgh

Pittsburgh · 5 mi · File Mar 2026

$484
list $807 · 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 Pittsburgh, PA 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