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

Office visit, new patient (level 4) · CPT 99204 · State: Idaho

In Idaho, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $207, with most between $195 and $226 ($196 cash/self-pay). Based on 13 Idaho hospitals — about the same as the national typical of $216. Hospital list charges run about $268 (1.3× higher).

Insurer-negotiated
$207
Idaho · $195–$226
Cash / self-pay
$196
typical cash price
Hospital list charge
$268
1.3× the negotiated rate

Source: medians across 13 Idaho 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 Idaho — FAQs

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

In Idaho, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $207, with most between $195 and $226, based on 13 Idaho hospitals. That's about the same as the national typical of $216.

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

Cash or self-pay prices for an Office visit, new patient (level 4) in Idaho run around $196. Hospitals often bill the higher "list" charge first (about $268), so ask for the cash or self-pay rate.

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

Idaho hospital "list" charges for an Office visit, new patient (level 4) run about $268 — roughly 1.3× the $207 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 Idaho?

Yes. If a Idaho hospital charged you well above the typical negotiated rate (about $207), that gap is negotiable. Upfronte audits your bill against real Idaho hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $207 in Idaho?

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

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