How much does New patient office visit, moderate complexity cost in hampton-roads?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for hampton-roads.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Bon Secours Harbour View Medical Center (Suffolk) lowest | Hospital | $151cash | 0.9× | — |
| Bon Secours Mary Immaculate Hospital (Newport News) | Hospital | $151cash | 0.9× | ★★★★★ hip/knee complications 4.7% |
| Bon Secours Maryview Medical Center (Portsmouth) | Hospital | $151cash | 0.9× | ★★★★★ |
| Sentara Obici Hospital (Suffolk) | Hospital | $167negotiated | 1.0× | ★★★★★ hip/knee complications 5.6% |
| Sentara CarePlex Hospital (Hampton) | Hospital | $167negotiated | 1.0× | ★★★★★ |
| Sentara Leigh Hospital — orthopedic-focused (Norfolk) | Hospital | $167negotiated | 1.0× | ★★★★★ hip/knee complications 6.2% |
| Sentara Norfolk General Hospital (Norfolk) | Hospital | $167negotiated | 1.0× | ★★★★★ |
| Sentara Williamsburg Regional Medical Center (Williamsburg) | Hospital | $167negotiated | 1.0× | ★★★★★ hip/knee complications 5.6% |
| Sentara Princess Anne Hospital (Virginia Beach) | Hospital | $167negotiated | 1.0× | ★★★★★ |
| Sentara Virginia Beach General Hospital (Virginia Beach) | Hospital | $167negotiated | 1.0× | ★★★★★ hip/knee complications 3.7% |
| Chesapeake Regional Medical Center (Chesapeake) gross charge | Hospital | $194cash | 1.2× | ★★★★★ hip/knee complications 4.6% |
What should 99204 cost in hampton-roads?
For New patient office visit, moderate complexity (CPT 99204) in hampton-roads, a fair self-pay price is around $167, with hospitals ranging from $151 to $167 across 11 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 hampton-roads?
A fair self-pay price for New patient office visit, moderate complexity (CPT 99204) in hampton-roads is around $167, with hospital prices ranging from $151 to $167 across 11 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.
Compare other procedures in hampton-roads
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.