Office visit, new patient, 45-59 min in Virginia
What Virginia hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
8
Rate rows
170
Neg. median
$285.75
Min
$116.51
Max
$432
Cash median
$167.5
Across 8 Virginia hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $116.51 to $432, with a median of $285.75. The interquartile range is $227.25 to $360. Cash-pay patients typically pay $167.5; gross charges median $450.
By payer in Virginia
Top 19 payers for Office visit, new patient, 45-59 min in Virginia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| vhn - ultra | 5 | 5 | $279 |
| Anthem BCBS | 5 | 5 | $128.77 |
| Cigna | 5 | 10 | $303.98 |
| connecticare | 5 | 5 | $315 |
| vhn - plus | 5 | 5 | $346.5 |
| vhn - secondary payors | 5 | 5 | $427.5 |
| Aetna | 5 | 15 | $233.1 |
| First Health | 5 | 5 | $134.9 |
| gateway - tier 1 | 5 | 5 | $427.5 |
| gateway - tier 2 | 5 | 5 | $360 |
| gateway - tier 3 | 5 | 5 | $247.5 |
| Humana | 5 | 5 | $134.9 |
| sentara health plan | 5 | 10 | $205.11 |
| UnitedHealthcare | 5 | 25 | $257.27 |
| vhn | 5 | 5 | $360 |
| vhn - link | 5 | 5 | $405 |
| corvel | 1 | 1 | $116.51 |
| national provider network | 1 | 1 | $432 |
| integrated health plan | 1 | 1 | $382.5 |
Hospital comparison — Office visit, new patient, 45-59 min in Virginia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Carilion Tazewell Community Hospital | Tazewell | $285.75 | $157.5 | $450 |
| Carilion Stonewall Jackson Hospital | Lexington | $288.9 | $157.5 | $450 |
| Carilion Medical Center | Roanoke | $288.9 | $157.5 | $450 |
| Carilion New River Valley Med Center | Christiansburg | $288.9 | $157.5 | $450 |
| Carilion Franklin Memorial Hospital | Rocky Mount | $288.9 | $157.5 | $450 |
| Childrens Hospital Of The Kings Da | Norfolk | — | $329.4 | $366 |
| Lynn House Of Potomac Valley Inc. | Alexandria | — | $167.5 | $335 |
| Bon Secours Depaul Medical Center | Norfolk | — | $324.35 | $499 |