How much does new patient office visit, moderate complexity cost in south-florida?

CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for south-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
$605
27 facilities · typical range $410 – $978 · 3.7× Medicare PFS
What Medicare pays
$163
Market typical
$605
Cash / self-pay price
$612
Prices near you — 27 facilities, lowest first
FacilityTypePricevs MedicareQuality
UHealth Tower – University of Miami Hospital and Clinics (Miami) lowest 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%
Jackson Memorial Hospital (Miami) Hospital $170cash 1.0× ★★★★★
hip/knee complications 3.2%
Broward Health Medical Center (Fort Lauderdale) Hospital $244cash 1.5× ★★★★★
Jupiter Medical Center Hospital $370cash 2.3× ★★★★★
hip/knee complications 5.3%
Broward Health North (Deerfield Beach) Hospital $410cash 2.5× ★★★★★
hip/knee complications 5%
Baptist Hospital of Miami Hospital $499cash 3.1× ★★★★★
Memorial Hospital Miramar Hospital $540cash 3.3× ★★★★★
Memorial Hospital West (Pembroke Pines) Hospital $540cash 3.3× ★★★★★
hip/knee complications 4.6%
Memorial Regional Hospital (Hollywood) Hospital $540cash 3.3× ★★★★★
hip/knee complications 3.7%
Broward Health Coral Springs Hospital $581cash 3.6× ★★★★★
hip/knee complications 4%
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.
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What should 99204 cost in south-florida?

For new patient office visit, moderate complexity (CPT 99204) in south-florida, a fair self-pay price is around $605, with hospitals ranging from $410 to $978 across 27 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 south-florida?

A fair self-pay price for new patient office visit, moderate complexity (CPT 99204) in south-florida is around $605, with hospital prices ranging from $410 to $978 across 27 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 south-florida

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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.