How much does New patient office visit, moderate complexity cost in southwest-florida?

CPT 99204 โ€” the fair price, every hospital's price, and the Medicare benchmark for southwest-florida.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
99204 New patient office visit, moderate complexity
Market typical price
$230
8 facilities ยท typical range $178 โ€“ $1,183 ยท 1.4ร— Medicare PFS
What Medicare paysโ“˜
$163
Market typical
$230
Cash / self-pay price
$230
Prices near you โ€” 8 facilities, lowest first
FacilityTypePricevs MedicareQuality
Lee Health Lee Memorial Hospital (Fort Myers) lowest Hospital $178cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.7%
Lee Health Gulf Coast Medical Center (Fort Myers) Hospital $178cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.5%
Lee Health Cape Coral Hospital Hospital $178cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5.6%
Sarasota Memorial Hospital โ€“ Venice Hospital $230cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.1%
Sarasota Memorial Hospital Hospital $230cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 2.9%
NCH Baker Hospital / Naples Community Hospital (Naples) Hospital $531cash 3.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.5%
HCA Florida Sarasota Doctors Hospital Hospital $1,400cash 8.6ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 2.5%
HCA Florida Blake Hospital (Bradenton) Hospital $1,705cash 10.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.7%
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.
See New patient office visit, moderate complexity prices in another area

What should 99204 cost in southwest-florida?

For New patient office visit, moderate complexity (CPT 99204) in southwest-florida, a fair self-pay price is around $230, with hospitals ranging from $178 to $1,183 across 8 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 southwest-florida?

A fair self-pay price for New patient office visit, moderate complexity (CPT 99204) in southwest-florida is around $230, with hospital prices ranging from $178 to $1,183 across 8 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 โ€” a fair cash-pay target is roughly 1.5โ€“2ร— 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 โ€” free.

Compare other procedures in southwest-florida

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only โ€” not a guarantee.