How much does new patient office visit, moderate complexity cost in Arizona?

CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for Arizona.

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
$286
47 facilities · typical range $196 – $1,264 · 1.8× Medicare PFS
What Medicare pays
$163
Market typical
$286
Cash / self-pay price
$327
Prices near you — 47 facilities, lowest first
FacilityTypePricevs MedicareQuality
Banner Thunderbird Medical Center (Glendale) lowest ⚠ likely error Hospital $9cash 0.1× ★★★★★
Northern Cochise Community Hospital (Willcox) Hospital $55negotiated 0.3× —
Banner University Medical Center Tucson Hospital $64cash 0.4× —
Phoenix Children's Hospital Hospital $99negotiated 0.6× —
Banner University Medical Center South (Tucson) Hospital $101cash 0.6× —
Tucson Medical Center Hospital $104cash 0.6×
hip/knee complications 4.2%
Banner Boswell Medical Center (Sun City) Hospital $116cash 0.7× ★★★★★
hip/knee complications 3.5%
Valleywise Health Medical Center Hospital $133negotiated 0.8× ★★★★★
Banner Estrella Medical Center (Phoenix) Hospital $144cash 0.9× ★★★★★
Yuma Regional Medical Center (Yuma) Hospital $146cash 0.9×
hip/knee complications 4.0%
Banner Desert Medical Center (Mesa) Hospital $146cash 0.9× ★★★★★
hip/knee complications 4.6%
Kingman Regional Medical Center Hospital $196cash 1.2× —
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. 1 unusually low/high price excluded from the typical price as likely data errors.
See new patient office visit, moderate complexity prices in another area
Phoenix MetroTucson MetroNorthern ArizonaSouthern & Western ArizonaAll VirginiaAll NevadaAll MichiganAll FloridaAll Ohio

What should 99204 cost in Arizona?

For new patient office visit, moderate complexity (CPT 99204) in Arizona, a fair self-pay price is around $286, with hospitals ranging from $196 to $1,264 across 47 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 Arizona?

A fair self-pay price for new patient office visit, moderate complexity (CPT 99204) in Arizona is around $286, with hospital prices ranging from $196 to $1,264 across 47 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 Arizona

Total knee replacement (arthroplasty)Total hip replacement (arthroplasty)Partial (unicompartmental) knee replacementTotal shoulder replacement (arthroplasty)Revision total knee replacementRevision total hip replacementMajor hip/knee joint replacement, inpatient, w/o MCCMajor hip/knee joint replacement, inpatient, w/ MCC

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.