How much does New patient office visit, moderate complexity cost in southwest-virginia?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for southwest-virginia.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Ballad Health Smyth County Community Hospital (Marion) lowest | Hospital | $51cash | 0.3× | ★★★★★ hip/knee complications 4.4% |
| Ballad Health Russell County Hospital (Lebanon) | Hospital | $51cash | 0.3× | ★★★★★ |
| Ballad Health Johnston Memorial Hospital (Abingdon) | Hospital | $51cash | 0.3× | ★★★★★ hip/knee complications 6.2% |
| Ballad Health Lonesome Pine Hospital (Big Stone Gap) | Hospital | $51cash | 0.3× | ★★★★★ |
| Wythe County Community Hospital (Wytheville) | Hospital | $358cash | 2.2× | ★★★★★ |
| Clinch Valley Medical Center (Richlands) | Hospital | $399cash | 2.4× | ★★★★★ |
| Twin County Regional Hospital (Galax) | Hospital | $410cash | 2.5× | ★★★★★ |
| Sovah Health Danville (Danville) | Hospital | $496cash | 3.0× | ★★★★★ hip/knee complications 4.4% |
| Sovah Health Martinsville (Martinsville) | Hospital | $596cash | 3.7× | — |
What should 99204 cost in southwest-virginia?
For New patient office visit, moderate complexity (CPT 99204) in southwest-virginia, a fair self-pay price is around $358, with hospitals ranging from $51 to $453 across 9 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-virginia?
A fair self-pay price for New patient office visit, moderate complexity (CPT 99204) in southwest-virginia is around $358, with hospital prices ranging from $51 to $453 across 9 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 southwest-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.