How much does New patient office visit, moderate complexity cost in northern-virginia?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for northern-virginia.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| UVA Health Culpeper Medical Center (Culpeper) lowest | Hospital | $138cash | 0.8× | ★★★★★ |
| Fauquier Hospital (Warrenton) | Hospital | $314cash | 1.9× | ★★★★★ hip/knee complications 5.6% |
| UVA Health Haymarket Medical Center (Haymarket) | Hospital | $322cash | 2.0× | ★★★★★ |
| UVA Health Prince William Medical Center (Manassas) | Hospital | $322cash | 2.0× | ★★★★★ |
What should 99204 cost in northern-virginia?
For New patient office visit, moderate complexity (CPT 99204) in northern-virginia, a fair self-pay price is around $318, with hospitals ranging from $182 to $322 across 4 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 northern-virginia?
A fair self-pay price for New patient office visit, moderate complexity (CPT 99204) in northern-virginia is around $318, with hospital prices ranging from $182 to $322 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.
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 northern-virginia
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.