How much does New patient office visit, moderate complexity cost in Florida?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for Florida.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99204 New patient office visit, moderate complexity
Market typical price
$410
78 facilities · typical range $198 – $874 · 2.5× Medicare PFS
Typical
$410
Medicare $163
$55 lowboxed = typical rangehigh $4,056
What Medicare paysⓘ
$163
Market typical
$410
Cash / self-pay price
$551
Prices near you — 78 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Lakeland Regional Health Medical Center lowest | Hospital | $55cash | 0.3× | ★★★★★ hip/knee complications 4.2% |
| Health First Holmes Regional Medical Center (Melbourne) | Hospital | $70cash | 0.4× | ★★★★★ hip/knee complications 4.7% |
| Baptist Hospital (Pensacola) | Hospital | $75cash | 0.5× | ★★★★★ hip/knee complications 3.9% |
| BayCare St. Anthony's Hospital (St. Petersburg) | Hospital | $91negotiated | 0.6× | ★★★★★ hip/knee complications 3.5% |
| BayCare Mease Countryside Hospital (Safety Harbor) | Hospital | $91negotiated | 0.6× | ★★★★★ |
| BayCare Morton Plant Hospital (Clearwater) | Hospital | $91negotiated | 0.6× | ★★★★★ hip/knee complications 4.1% |
| BayCare St. Joseph's Hospital (Tampa) | Hospital | $91negotiated | 0.6× | ★★★★★ |
| UHealth Tower – University of Miami Hospital and Clinics (Miami) | Hospital | $95cash | 0.6× | — |
| Cleveland Clinic Florida Weston Hospital | Hospital | $142cash | 0.9× | ★★★★★ hip/knee complications 3.7% |
| Cleveland Clinic Martin North Hospital (Stuart) | Hospital | $142cash | 0.9× | ★★★★★ hip/knee complications 4% |
| Baptist Medical Center Jacksonville | Hospital | $144negotiated | 0.9× | ★★★★★ hip/knee complications 4.2% |
| Baptist Medical Center Beaches (Jacksonville Beach) | Hospital | $144negotiated | 0.9× | ★★★★★ hip/knee complications 3.5% |
| Jackson Memorial Hospital (Miami) | Hospital | $170cash | 1.0× | ★★★★★ hip/knee complications 3.2% |
| Halifax Health Medical Center (Daytona Beach) | Hospital | $178cash | 1.1× | ★★★★★ hip/knee complications 4.7% |
| Lee Health Lee Memorial Hospital (Fort Myers) | Hospital | $178cash | 1.1× | ★★★★★ hip/knee complications 3.7% |
| Lee Health Gulf Coast Medical Center (Fort Myers) | Hospital | $178cash | 1.1× | ★★★★★ hip/knee complications 3.5% |
| Lee Health Cape Coral Hospital | Hospital | $178cash | 1.1× | ★★★★★ hip/knee complications 5.6% |
| Ascension St. Vincent's Southside (Jacksonville) | Hospital | $186cash | 1.1× | ★★★★★ hip/knee complications 3.5% |
| Ascension St. Vincent's Riverside (Jacksonville) | Hospital | $186cash | 1.1× | ★★★★★ hip/knee complications 4.1% |
| HCA Florida Ocala Hospital | Hospital | $202negotiated | 1.2× | ★★★★★ hip/knee complications 6.2% |
| HCA Florida West Hospital (Pensacola) | Hospital | $203negotiated | 1.2× | ★★★★★ hip/knee complications 4.9% |
| UF Health Jacksonville (Shands Jacksonville) | Hospital | $205cash | 1.3× | ★★★★★ hip/knee complications 4.6% |
| HCA Florida Fort Walton-Destin Hospital | Hospital | $210negotiated | 1.3× | ★★★★★ hip/knee complications 4.9% |
| Baptist Gulf Breeze Hospital [ORTHO-FOCUSED: Andrews Institute] | Hospital | $216negotiated | 1.3× | ★★★★★ hip/knee complications 5.8% |
| Sarasota Memorial Hospital – Venice | Hospital | $230cash | 1.4× | ★★★★★ hip/knee complications 4.1% |
| Sarasota Memorial Hospital | Hospital | $230cash | 1.4× | ★★★★★ hip/knee complications 2.9% |
| Broward Health Medical Center (Fort Lauderdale) | Hospital | $244cash | 1.5× | ★★★★★ |
| Ascension Sacred Heart Pensacola | Hospital | $283cash | 1.7× | ★★★★★ hip/knee complications 3.7% |
| Mayo Clinic Florida (Jacksonville) | Hospital | $326cash | 2.0× | ★★★★★ hip/knee complications 4.8% |
| Tampa General Hospital (Tampa) | Hospital | $334cash | 2.0× | ★★★★★ hip/knee complications 3.5% |
| Tallahassee Memorial HealthCare | Hospital | $362cash | 2.2× | ★★★★★ hip/knee complications 3.2% |
| Jupiter Medical Center | Hospital | $370cash | 2.3× | ★★★★★ hip/knee complications 5.3% |
| HCA Florida Largo Hospital | Hospital | $396cash | 2.4× | ★★★★★ hip/knee complications 3.8% |
| Broward Health North (Deerfield Beach) | Hospital | $410cash | 2.5× | ★★★★★ hip/knee complications 5% |
| UF Health St. Johns – Flagler Hospital (St. Augustine) | Hospital | $410cash | 2.5× | ★★★★★ hip/knee complications 4% |
| UF Health Shands Hospital (Gainesville) | Hospital | $410cash | 2.5× | ★★★★★ hip/knee complications 3.7% |
| UF Health The Villages Hospital | Hospital | $410cash | 2.5× | ★★★★★ hip/knee complications 4.5% |
| HCA Florida Bayonet Point Hospital (Hudson) | Hospital | $419cash | 2.6× | ★★★★★ hip/knee complications 4.4% |
| HCA Florida Northside Hospital (St. Petersburg) | Hospital | $488cash | 3.0× | ★★★★★ hip/knee complications 4.7% |
| Baptist Hospital of Miami | Hospital | $499cash | 3.1× | ★★★★★ |
| NCH Baker Hospital / Naples Community Hospital (Naples) | Hospital | $531cash | 3.2× | ★★★★★ hip/knee complications 4.5% |
| Memorial Hospital Miramar | Hospital | $540cash | 3.3× | ★★★★★ |
| Memorial Regional Hospital (Hollywood) | Hospital | $540cash | 3.3× | ★★★★★ hip/knee complications 3.7% |
| Memorial Hospital West (Pembroke Pines) | Hospital | $540cash | 3.3× | ★★★★★ hip/knee complications 4.6% |
| HCA Florida UCF Lake Nona Hospital (Orlando) | Hospital | $562cash | 3.4× | ★★★★★ |
| Broward Health Coral Springs | Hospital | $581cash | 3.6× | ★★★★★ hip/knee complications 4% |
| HCA Florida Palms West Hospital (Loxahatchee) | Hospital | $597cash | 3.7× | ★★★★★ |
| Baptist Health Boca Raton Regional Hospital | Hospital | $612cash | 3.7× | ★★★★★ hip/knee complications 4.3% |
| AdventHealth Daytona Beach | Hospital | $642cash | 3.9× | ★★★★★ hip/knee complications 4.7% |
| HCA Florida Aventura Hospital | Hospital | $643cash | 3.9× | ★★★★★ hip/knee complications 3.8% |
| HCA Florida Kendall Hospital (Miami) | Hospital | $648cash | 4.0× | ★★★★★ hip/knee complications 4.9% |
| HCA Florida North Florida Hospital (Gainesville) | Hospital | $655cash | 4.0× | ★★★★★ hip/knee complications 2.6% |
| HCA Florida Northwest Hospital (Margate) | Hospital | $694cash | 4.2× | ★★★★★ hip/knee complications 4.9% |
| HCA Florida Capital Hospital (Tallahassee) | Hospital | $728cash | 4.5× | ★★★★★ hip/knee complications 4% |
| Baptist Health South Miami Hospital | Hospital | $747cash | 4.6× | ★★★★★ |
| Baptist Health Bethesda Hospital East (Boynton Beach) | Hospital | $747cash | 4.6× | ★★★★★ hip/knee complications 6.7% |
| AdventHealth Wesley Chapel | Hospital | $817cash | 5.0× | ★★★★★ hip/knee complications 4.7% |
| AdventHealth Tampa | Hospital | $817cash | 5.0× | ★★★★★ hip/knee complications 4.7% |
| Delray Medical Center (Tenet, Delray Beach) | Hospital | $862cash | 5.3× | ★★★★★ hip/knee complications 6.1% |
| Good Samaritan Medical Center (Tenet, West Palm Beach) | Hospital | $908cash | 5.6× | ★★★★★ hip/knee complications 4.5% |
| HCA Florida Lake Monroe Hospital (Sanford) | Hospital | $918cash | 5.6× | ★★★★★ hip/knee complications 4.4% |
| AdventHealth Ocala | Hospital | $938cash | 5.7× | ★★★★★ hip/knee complications 4.9% |
| St. Mary's Medical Center (Tenet, West Palm Beach) [Paley Orthopedic & Spine Institute] | Hospital | $978cash | 6.0× | ★★★★★ hip/knee complications 4.1% |
| Palm Beach Gardens Medical Center (Tenet) | Hospital | $1,016cash | 6.2× | ★★★★★ hip/knee complications 5.7% |
| HCA Florida Oviedo Medical Center | Hospital | $1,072cash | 6.6× | ★★★★★ hip/knee complications 3.1% |
| HCA Florida Westside Hospital (Plantation) | Hospital | $1,227cash | 7.5× | ★★★★★ hip/knee complications 4.5% |
| HCA Florida Sarasota Doctors Hospital | Hospital | $1,400cash | 8.6× | ★★★★★ hip/knee complications 2.5% |
| AdventHealth Orlando (incl. Altamonte Springs, Celebration, Winter Park, East Orlando, Apopka, Kissimmee campuses – one CCN/MRF) | Hospital | $1,409cash | 8.6× | ★★★★★ hip/knee complications 3.5% |
| HCA Florida JFK Hospital (Atlantis) | Hospital | $1,576cash | 9.6× | ★★★★★ hip/knee complications 3.7% |
| HCA Florida Blake Hospital (Bradenton) | Hospital | $1,705cash | 10.4× | ★★★★★ hip/knee complications 3.7% |
| HCA Florida Mercy Hospital (Miami) | Hospital | $1,884cash | 11.5× | ★★★★★ hip/knee complications 3.1% |
| HCA Florida Brandon Hospital gross charge | Hospital | $1,916cash | 11.7× | ★★★★★ hip/knee complications 3.8% |
| HCA Florida Trinity Hospital gross charge | Hospital | $2,009cash | 12.3× | ★★★★★ hip/knee complications 4.5% |
| HCA Florida Osceola Hospital (Kissimmee) gross charge | Hospital | $2,289cash | 14.0× | ★★★★★ |
| Holy Cross Health (Fort Lauderdale) gross charge | Hospital | $2,315cash | 14.2× | ★★★★★ hip/knee complications 3.3% |
| HCA Florida South Tampa Hospital gross charge | Hospital | $2,692cash | 16.5× | ★★★★★ |
| HCA Florida Orange Park Hospital gross charge | Hospital | $3,591cash | 22.0× | ★★★★★ |
| HCA Florida Memorial Hospital (Jacksonville) gross charge | Hospital | $4,056cash | 24.8× | ★★★★★ hip/knee complications 3.3% |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 7 unusually low/high prices excluded from the typical price as likely data errors.
See New patient office visit, moderate complexity prices in another area
What should 99204 cost in Florida?
For New patient office visit, moderate complexity (CPT 99204) in Florida, a fair self-pay price is around $410, with hospitals ranging from $198 to $874 across 78 facilities. Medicare's benchmark rate is $163, the floor to negotiate toward. 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 Florida?
A fair self-pay price for New patient office visit, moderate complexity (CPT 99204) in Florida is around $410, with hospital prices ranging from $198 to $874 across 78 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.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
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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.