How much does an Office visit, new patient cost in Houston?

Office visit, new patient (level 4) · CPT 99204 · Metro area: Houston

In Houston, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $375, with most between $322 and $457 ($313 cash/self-pay). Based on 32 Houston hospitals — 74% higher than the national typical of $216. Hospital list charges run about $681 (1.8× higher).

Insurer-negotiated
$375
Houston · $322$457
Cash / self-pay
$313
typical cash price
Hospital list charge
$681
1.8× the negotiated rate

Source: medians across 32 Houston hospitals' published price files (≥5 reporting). See the national Office visit, new patient (level 4) cost for the full picture. Estimates vary by hospital, insurer, and plan.

Office visit, new patient (level 4) cost in Houston — FAQs

How much does an Office visit, new patient (level 4) cost in Houston?

In Houston, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $375, with most between $322 and $457, based on 32 Houston hospitals. That's 74% higher than the national typical of $216.

How much does an Office visit, new patient (level 4) cost without insurance in Houston?

Cash or self-pay prices for an Office visit, new patient (level 4) in Houston run around $313. Hospitals often bill the higher "list" charge first (about $681), so ask for the cash or self-pay rate.

Why is my Houston hospital bill for an Office visit, new patient (level 4) so high?

Houston hospital "list" charges for an Office visit, new patient (level 4) run about $681 — roughly 1.8× the $375 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Office visit, new patient (level 4) in Houston?

Yes. If a Houston hospital charged you well above the typical negotiated rate (about $375), that gap is negotiable. Upfronte audits your bill against real Houston hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $375 in Houston?

Upload your bill and Upfronte will check it against real Houston hospital prices and negotiate overcharges. No savings, no fee.

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