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New patient office visit (about 45 minutes) in Seattle, WA costs $72 to $306. Here's every hospital's price.

10 hospitals in the Seattle-Tacoma-Bellevue, WA 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 Seattle-Tacoma-Bellevue, WA metro area, 10 hospitals list a cash price for new patient office visit (about 45 minutes) (CPT 99204). The lowest is $72 at Virginia Mason Medical Center, the median is $193 and the highest is $306 at Cascade Valley Hospital. The most expensive hospital lists 4.2 times the cheapest for the same code.

The Seattle, WA median of $193 is 34% below the national median of $291 across 374 US hospitals with a cash price for this code.

10 of these hospitals also publish the rates they negotiated with insurers, from $5 to $6,519. 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. 16 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.

$72
lowest cash price in Seattle, WA
Virginia Mason Medical Center · 24 mi
$121 below the median
$193
median cash price
10 hospitals
4.2×
highest ÷ lowest
same procedure, same metro
10/27
hospitals with a cash price
16 don't · see who

Sorted by cash price

Hospital facility fee only
1
Virginia Mason Medical Center

Seattle · 24 mi · File Jan 2026

$72
list $142 · lowest of 2 lines
2
St Clare Hospital

Lakewood · 39 mi · File Feb 2026

$177
list $615 · lowest of 2 lines
3
St Anthony Hospital

Gig Harbor · 38 mi · File Feb 2026

$187
list $615 · lowest of 2 lines
4
Highline Medical Center

Burien · 24 mi · File Feb 2026

$188
list $615 · lowest of 2 lines
5
St Francis Community Hospital

Federal Way · 27 mi · File Feb 2026

$193
list $615 · lowest of 2 lines
6
St Joseph Medical Center

Tacoma · 33 mi · File Feb 2026

$204
list $615 · lowest of 2 lines
7
St Elizabeth Hospital

Enumclaw · 21 mi · File Feb 2026

$217
list $615 · lowest of 2 lines
8
Providence Regional Medical Center Everett

Everett · 39 mi · File Apr 2026

$252
list $485 · lowest of 2 lines
9
Valley Medical Center

Renton · 18 mi · File Mar 2026

$302
list $362
10
Cascade Valley Hospital

Arlington · 50 mi · File Mar 2026

$306
list $383 · lowest of 2 lines
11
Overlake Hospital Medical Center & Clinics

Bellevue · 19 mi · File Apr 2026

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 Seattle, WA 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