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

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

In Utah, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $191, with most between $145 and $274 ($378 cash/self-pay). Based on 13 Utah hospitals — 12% lower than the national typical of $216. Hospital list charges run about $485 (2.5× higher).

Insurer-negotiated
$191
Utah · $145$274
Cash / self-pay
$378
typical cash price
Hospital list charge
$485
2.5× the negotiated rate

Source: medians across 13 Utah 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 Utah — FAQs

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

In Utah, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $191, with most between $145 and $274, based on 13 Utah hospitals. That's 12% lower than the national typical of $216.

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

Cash or self-pay prices for an Office visit, new patient (level 4) in Utah run around $378. Hospitals often bill the higher "list" charge first (about $485), so ask for the cash or self-pay rate.

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

Utah hospital "list" charges for an Office visit, new patient (level 4) run about $485 — roughly 2.5× the $191 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 Utah?

Yes. If a Utah hospital charged you well above the typical negotiated rate (about $191), that gap is negotiable. Upfronte audits your bill against real Utah hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $191 in Utah?

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

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