CashPrice · what hospitals actually charge cash-pay patients — normalized from the federal price-transparency files

Office Visit (new patient, moderate) — cash price without insurance

Median cash price · 7 hospitals · CPT/HCPCS 99204
$350.78

The median cash price for Office Visit (new patient, moderate) is $350.78, based on the stated self-pay prices 4 hospitals publish in their federal price-transparency files. Across all 7 hospitals we cover, prices run $125–$1,038.

Source: each hospital's CMS price-transparency file (45 CFR 180). Verified .
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3 of 7 hospitals don't publish a stated cash price for this procedure — those rows show their lowest negotiated rate as an estimated floor (est.), the realistic best case a cash-pay patient could ask to match.

Cash price by hospital

HospitalCash priceGross chargeFile dated
MD Anderson Cancer Center
Houston, TX
$44.84 est. 01/01/2026
Strong Memorial Hospital
Rochester, NY
$58.03 est. 4/1/2026
Ronald Reagan UCLA Medical Center
Los Angeles, CA
$68.90 est. 2026-03-29
Rush University Medical Center
Chicago, IL
$125 cash $250 2026-06-02
UPMC Cole
Coudersport, PA
$225 cash $375 3/6/2026
Boston Medical Center
Boston, MA
$476.55 cash $1,059 03/13/2026
Emory University Hospital
Atlanta, GA
$1,038 cash $1,038 2026-04-01

"Cash price" = the hospital's published discounted_cash self-pay rate. "Gross charge" = the sticker price before any discount — what cash-pay patients are first billed and can negotiate down toward the cash rate.

Paying cash? Ask the hospital's billing office for the "self-pay" or "prompt-pay" rate and bring the figure above — it's a published ceiling you can negotiate from, not a fixed quote. Free-standing imaging centers and ASCs are frequently cheaper than hospital outpatient departments for the same code.

How to use this

If you're paying cash for Office Visit (new patient, moderate), the hospital's published self-pay price is a ceiling you can negotiate from, not a fixed quote. Bring the figure above (and the source file) to billing and ask for the cash / prompt-pay rate. Free-standing imaging centers and ASCs are often well below hospital outpatient rates.

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