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

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

In Texas, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $344, with most between $239 and $491 ($350 cash/self-pay). Based on 315 Texas hospitals — 59% higher than the national typical of $216. Hospital list charges run about $681 (2× higher).

Insurer-negotiated
$344
Texas · $239–$491
Cash / self-pay
$350
typical cash price
Hospital list charge
$681
2× the negotiated rate

Source: medians across 315 Texas 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 Texas — FAQs

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

In Texas, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $344, with most between $239 and $491, based on 315 Texas hospitals. That's 59% higher than the national typical of $216.

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

Cash or self-pay prices for an Office visit, new patient (level 4) in Texas run around $350. Hospitals often bill the higher "list" charge first (about $681), so ask for the cash or self-pay rate.

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

Texas hospital "list" charges for an Office visit, new patient (level 4) run about $681 — roughly 2× the $344 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 Texas?

Yes. If a Texas hospital charged you well above the typical negotiated rate (about $344), that gap is negotiable. Upfronte audits your bill against real Texas hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $344 in Texas?

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

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