How much does New patient office visit, moderate complexity cost in Nevada?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for Nevada.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Saint Mary's Regional Medical Center (Reno) lowest | Hospital | $121negotiated | 0.7× | ★★★★★ |
| North Vista Hospital (North Las Vegas) | Hospital | $121negotiated | 0.7× | ★★★★★ |
| Southern Hills Hospital & Medical Center (Las Vegas) | Hospital | $127negotiated | 0.8× | ★★★★★ hip/knee complications 4.7% |
| Dignity Health St. Rose Dominican - San Martin Campus (Las Vegas) | Hospital | $132cash | 0.8× | ★★★★★ |
| Humboldt General Hospital (Winnemucca) | Hospital | $197cash | 1.2× | ★★★★★ |
| University Medical Center of Southern Nevada (Las Vegas) | Hospital | $224cash | 1.4× | ★★★★★ hip/knee complications 3.8% |
| Incline Village Community Hospital - Tahoe Forest (Incline Village) | Hospital | $232cash | 1.4× | — |
| Carson Tahoe Regional Medical Center incl. Sierra Surgery (Carson City) | Hospital | $270cash | 1.7× | ★★★★★ |
| Carson Valley Health (Gardnerville) | Hospital | $301cash | 1.8× | ★★★★★ |
| Boulder City Hospital (Boulder City) | Hospital | $329cash | 2.0× | — |
| Renown Regional Medical Center (Reno) | Hospital | $729cash | 4.5× | ★★★★★ |
| Renown South Meadows Medical Center (Reno) | Hospital | $729cash | 4.5× | ★★★★★ hip/knee complications 4.8% |
| Dignity Health St. Rose Dominican - Siena Campus (Henderson) | Hospital | $948cash | 5.8× | ★★★★★ hip/knee complications 4.2% |
| Northeastern Nevada Regional Hospital (Elko) | Hospital | $1,361cash | 8.3× | ★★★★★ |
| Sunrise Hospital & Medical Center (Las Vegas) | Hospital | $1,893cash | 11.6× | ★★★★★ hip/knee complications 4.4% |
| Mesa View Regional Hospital (Mesquite) | Hospital | $1,918cash | 11.7× | ★★★★★ |
| MountainView Hospital (Las Vegas) | Hospital | $2,082cash | 12.7× | ★★★★★ hip/knee complications 3.2% |
| Banner Churchill Community Hospital (Fallon) | Hospital | $2,610cash | 16.0× | ★★★★★ |
What should 99204 cost in Nevada?
For New patient office visit, moderate complexity (CPT 99204) in Nevada, a fair self-pay price is around $315, with hospitals ranging from $181 to $1,494 across 18 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 Nevada?
A fair self-pay price for New patient office visit, moderate complexity (CPT 99204) in Nevada is around $315, with hospital prices ranging from $181 to $1,494 across 18 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 Nevada
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.