Office visit new patient moderate complexity
CPT 99204 • Office Visits
If you're paying cash
$84 – $363
Posted cash price at 6 hospitals in North Carolina. Hospitals must publish these; ask for the self-pay or cash price by name when you call.
See what your plan negotiated
Lowest
$5
Typical
$171
Highest
$1,242
194,483 negotiated rates from NC hospitals. These are what insurers pay, not what you would be billed.
About this procedure
A new-patient office visit (level 4) — your first 45-minute appointment with a doctor for a moderately complex problem.
What to expect
Longer than the basic new-patient visit. Bring all your prior records, medication bottles, and a list of questions. The provider does a thorough review and exam. Common code for first appointments with specialists.