How much does office visit, new patient, level 5 cost in San Francisco, CA?

CPT 99205 — the fair price, every hospital's price, and the Medicare benchmark for San Francisco, CA.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99205 Office visit, new patient, level 5
Ask to pay
$431
This is the local cash / self-pay price — usually the best rate you can ask for.
What Medicare paysⓘ
no data
Typical price near you
$431
Cash / self-pay price
$431
Prices near you — 10 facilities, lowest first
FacilityTypePricevs MedicareQuality
Lucile Packard Children's Hospital Stanford (Palo Alto) lowest Hospital $108cash — —
UCSF Medical Center (San Francisco) Hospital $170cash — ★★★★★
Highland Hospital – Alameda Health System (Oakland) Hospital $274cash — —
Providence Queen of the Valley Medical Center (Napa) Hospital $386cash — —
Dignity Sequoia Hospital (Redwood City) Hospital $430cash — ★★★★★
Stanford Health Care (Stanford) Hospital $432cash — ★★★★★
Providence Santa Rosa Memorial Hospital (Santa Rosa) Hospital $499cash — —
Natividad Medical Center (Salinas) Hospital $1,025cash — —
Good Samaritan Hospital (San Jose) Hospital $1,882cash — —
Dignity Dominican Hospital (Santa Cruz) Hospital $2,083cash — —
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges.
💬 What to say — negotiation scripts
  • No Medicare benchmark on file for 99205 (Office visit, new patient, level 5) — I can't anchor to Medicare here. Please send your pricing methodology for this code.
  • Your own published cash / self-pay price for 99205 is $431.38, and negotiated rates at nearby facilities run $248.08–$1,239.25. Please apply a rate in that range to my bill rather than the gross charge.
  • Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
  • Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See office visit, new patient, level 5 prices in another area

What should 99205 cost in San Francisco, CA?

For office visit, new patient, level 5 (CPT 99205) in San Francisco, CA, a fair self-pay price is around $431, with hospitals ranging from $248 to $1,239 across 10 facilities. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does office visit, new patient, level 5 cost in San Francisco, CA?

A fair self-pay price for office visit, new patient, level 5 (CPT 99205) in San Francisco, CA is around $431, with hospital prices ranging from $248 to $1,239 across 10 facilities. These are estimates from hospital-published prices, not a guarantee.

Can I negotiate the price of office visit, new patient, level 5?

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 San Francisco, CA

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.