▸ Procedure · office · CPT 99205

Office visit, new patient, 60-74 min

What US hospitals charge for office visit, new patient, 60-74 min — negotiated rates by payer + state-by-state pricing.

Hospitals
1,035
Rate rows
37,058
Neg. median
$221.13
Neg. min
$1
Neg. max
$28,538
Cash median
$318.4

Across 1,035 US hospitals publishing MRFs, the negotiated rate for Office visit, new patient, 60-74 min ranges from $1 to $28,538, with a median of $221.13. Half of all rates fall between $159.14 and $432.14. Cash-pay patients typically pay $318.4; hospital list (gross) prices median $493.

By payer

Top 30 payers by hospital coverage for this code.

PayerHospitalsRatesMedian rate
UnitedHealthcare6092902$212.68
Aetna5292399$239.68
Blue Cross Blue Shield5163300$244.38
Cigna4411307$270.71
Humana329711$212.68
Multiplan236655$490.14
First Health207509$485.4
Medicaid1571116$191.41
WellCare139262$167.28
Molina136306$210.46
Medicare115676$194.58
Anthem BCBS111482$201.3
amerihealth caritas88107$167.28
upmc health plan60150$129.29
medcost60129$351.36
geisinger59229$163.37
amerihealth58284$123.42
medica55533$597.12
pa health & wellness4671$200.31
upmc work partners4545$264.44
phcs4580$582
Ambetter4352$207
private healthcare systems40123$750.22
choicecare3846$266.24
carolina complete health3838$167.28
health partners37333$675.84
health partners open network3737$279.38
healthy blue3535$167.28
intergroup35136$492
alliance3435$168.93

By state

States with ≥2 reporting hospitals.

StateHospitalsMedian rate
AK2—
AL18$197.2
AR5$188.1
AZ9$389.36
CA34$390.31
CO3$272
DC2$212.74
DE2$212.19
GA9$318.65
HI4$122.28
IA28$331.06
IL43$234.2
IN17$201.3
KS11$192.14
KY9$156.59
LA5$158.58
MA12$222.75
MD26$233.33
ME2$375.57
MI28$164.3
MN19$568.52
MO9$1,868.43
MS11$165.48
NC22$205.29
ND3$274.56
NE4$311.25
NJ13$466.87
NV3$156.48
NY11$208.14
OH12$122.8
OK6$294.9
PA52$231.76
PR4$30
SC16$209.18
SD3$186.84
TN15$172
TX44$331.09
VA8$371.48
VT6$386.73
WA3$174.52
WI32$234.85
WV15$188.86

Top 20 by lowest negotiated rate

Lowest median negotiated rate among hospitals publishing for this code.

HospitalCitySTNegotiated median
Doctor Center Hospital San Fernando De La CarolinaMANATIPR$30
Doctors' Center Hospital - San Fernando de la Carolina——$30
Doctors' Center Hospital - San Juan——$30
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC$30
Doctors' Center Hospital - Manatí——$30
Doctors' Center Hospital San JuanSAN JUANPR$30
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC$31.4
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC$35.7
MOUNTAIN VIEW HOSPITALGADSDENAL$40
Lakeside Hospital——$56.77
Lakeview Hospital——$56.77
University Medical Center New OrleansNEW ORLEANSLA$56.77
Claiborne Medical Center——$60
Parkwest Medical Center——$60
Novant Health Huntersville Medical CenterHUNTERSVILLENC$62
Novant Health Charlotte Orthopedic Hospital——$62
Novant Health Mint Hill Medical CenterCHARLOTTENC$62
Novant Health Matthews Medical CenterMATTHEWSNC$62
NOVANT HEALTH BALLANTYNE MEDICAL CTRCHARLOTTENC$62
Novant Health Huntersville Medical Center——$62