How much does New patient office visit, moderate complexity cost in Tucson, AZ?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for Tucson, AZ.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Banner University Medical Center Tucson lowest | Hospital | $64cash | 0.4× | — |
| Banner University Medical Center South (Tucson) | Hospital | $101cash | 0.6× | — |
| Tucson Medical Center | Hospital | $104cash | 0.6× | hip/knee complications 4.2% |
| Carondelet St. Joseph's Hospital (Tucson) | Hospital | $1,552cash | 9.5× | hip/knee complications 4.1% |
| Carondelet St. Mary's Hospital (Tucson) | Hospital | $1,552cash | 9.5× | hip/knee complications 4.5% |
| Carondelet Holy Cross Hospital (Nogales) | Hospital | $1,552cash | 9.5× | — |
What should 99204 cost in Tucson, AZ?
For New patient office visit, moderate complexity (CPT 99204) in Tucson, AZ, a fair self-pay price is around $828, with hospitals ranging from $92 to $1,552 across 6 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 Tucson, AZ?
A fair self-pay price for New patient office visit, moderate complexity (CPT 99204) in Tucson, AZ is around $828, with hospital prices ranging from $92 to $1,552 across 6 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 Tucson, AZ
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.