How much does new patient office visit, moderate complexity cost in Cincinnati, OH?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for Cincinnati, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Bethesda North (Cincinnati) lowest | Hospital | $289negotiated | 1.8× | ★★★★★ hip/knee complications 4.4% |
| Good Samaritan Hospital (Cincinnati) | Hospital | $289negotiated | 1.8× | ★★★★★ hip/knee complications 4.1% |
| Mccullough-Hyde Memorial Hospital (Oxford) | Hospital | $289negotiated | 1.8× | ★★★★★ |
| Atrium Medical Center (Franklin) | Hospital | $541cash | 3.3× | ★★★★★ |
What should 99204 cost in Cincinnati, OH?
For new patient office visit, moderate complexity (CPT 99204) in Cincinnati, OH, a fair self-pay price is around $289, with hospitals ranging from $289 to $478 across 4 facilities. Medicare's benchmark rate is $163, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does new patient office visit, moderate complexity cost in Cincinnati, OH?
A fair self-pay price for new patient office visit, moderate complexity (CPT 99204) in Cincinnati, OH is around $289, with hospital prices ranging from $289 to $478 across 4 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99204?
Medicare pays about $163 for new patient office visit, moderate complexity (CPT 99204). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of new patient office visit, moderate complexity?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Placing a referral for this?
Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 99204, ranked, with the phone number and an out-of-pocket estimate.
Compare other procedures in Cincinnati, OH
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.