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PricedCare

New patient office visit (about 60 minutes) in Philadelphia, PA-NJ-DE-MD costs $126 to $1,587. 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 60 minutes) (CPT 99205). 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 60 minutes) (CPT 99205). The lowest is $126 at Pottstown Hospital, the median is $144 and the highest is $1,587 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 $144 is 57% below the national median of $336 across 385 US hospitals with a cash price for this code.

20 of these hospitals also publish the rates they negotiated with insurers, from $29 to $1,429. 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.

$126
lowest cash price in Philadelphia, PA-NJ-DE-MD
Pottstown Hospital · 29 mi
$19 below the median
$144
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

$116
list $465 · lowest of 24 lines
2
Phoenixville Hospital

Phoenixville · 19 mi · File Jun 2026

$126
list $503 · lowest of 24 lines
3
Holy Redeemer Hospital and Medical Center

Meadowbrook · 19 mi · File Sep 2025

$143
list $357 · lowest of 10 lines
4
Nemours Children's Hospital, Delaware

Wilmington · 15 mi · File Mar 2026

$144
list $144 · lowest of 3 lines
5
Virtua Our Lady of Lourdes Hospital

Camden · 12 mi · File Apr 2026

$144
list $1,444 · lowest of 2 lines
6
Virtua Mount Holly Hospital

Mount Holly · 28 mi · File Apr 2026

$144
list $1,444
7
Virtua Willingboro Hospital

Willingboro · 25 mi · File Apr 2026

$144
list $1,444
8
St Francis Hospital

Wilmington · 17 mi · File Mar 2026

$375
list $375 · lowest of 2 lines
9
St Mary Medical Center

Langhorne · 29 mi · File Mar 2026

$388
list $388 · lowest of 2 lines
10
Mercy Catholic Medical Center- Mercy Fitzgerald

Darby · 3 mi · File Mar 2026

$390
list $390 · lowest of 3 lines
11
Shriners Hospitals for Children - Philadelphia

Philadelphia · 11 mi · File Mar 2026

$620
list $620
12
Children's Hospital of Philadelphia

Philadelphia · 7 mi · File Dec 2025

$1,587
list $1,587
1

What's in the price

The hospital facility fee for CPT 99205. 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 99205, in writing, and whether it covers facility, physician and anesthesia."

About new patient office visit (about 60 minutes)

CPT 99205 is the highest new-patient office visit level: about an hour, high complexity, typically a serious or complicated diagnosis, multiple chronic conditions, or decisions about major treatment. It is common in oncology, cardiology and neurology first visits.

What the price covers

When a hospital lists it, this is the price at a hospital-owned clinic or outpatient department, often with a facility fee on top of the clinician's fee. Any tests, imaging or procedures ordered are separate.

Why prices vary

Prices for the same visit level differ mainly by ownership: hospital-owned practices add facility fees; independent practices do not. Academic medical centers list the highest charges. Cash prices are usually far below the gross charge.

Questions to ask

  • What is the self-pay price for 99205 including any facility fee?
  • Could the visit be booked at an independent practice with the same specialist?
  • What is included, and what will be billed separately?

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