How much does office visit, new patient, level 5 cost in California?
CPT 99205 — the fair price, every hospital's price, and the Medicare benchmark for California.
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
$319
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$257
Medicare $216
Ask $319
$53 lowboxed = typical rangehigh $2,931
What Medicare paysⓘ
$216
Typical price near you
$257
Cash / self-pay price
$319
Prices near you — 63 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Adventist Health Bakersfield (Bakersfield) lowest ⚠ likely error | Hospital | $53cash | 0.2× | — |
| Adventist Health Glendale (Glendale) | Hospital | $56cash | 0.3× | ★★★★★ |
| Eisenhower Medical Center (Rancho Mirage) | Hospital | $66cash | 0.3× | ★★★★★ |
| Adventist Health White Memorial (Los Angeles) | Hospital | $67cash | 0.3× | — |
| UCI Health – Placentia Linda (Placentia) | Hospital | $72cash | 0.3× | — |
| UCI Health – Fountain Valley (Fountain Valley) | Hospital | $72cash | 0.3× | — |
| UCI Health – Los Alamitos (Los Alamitos) | Hospital | $72cash | 0.3× | — |
| Ronald Reagan UCLA Medical Center (Los Angeles) | Hospital | $83negotiated | 0.4× | ★★★★★ |
| UCLA Santa Monica Medical Center (Santa Monica) | Hospital | $83negotiated | 0.4× | ★★★★★ |
| Lucile Packard Children's Hospital Stanford (Palo Alto) | Hospital | $108cash | 0.5× | — |
| Dignity Mercy General Hospital (Sacramento) | Hospital | $116cash | 0.5× | ★★★★★ |
| Centinela Hospital Medical Center (Inglewood) | Hospital | $119negotiated | 0.5× | — |
| UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) | Hospital | $134cash | 0.6× | — |
| Dignity Mercy San Juan Medical Center (Carmichael) | Hospital | $146cash | 0.7× | — |
| UCSF Medical Center (San Francisco) | Hospital | $170cash | 0.8× | ★★★★★ |
| Dignity St. John's Regional Medical Center (Oxnard) | Hospital | $176cash | 0.8× | — |
| Harbor-UCLA Medical Center (Torrance) | Hospital | $177negotiated | 0.8× | — |
| Los Angeles General Medical Center (Los Angeles) | Hospital | $177negotiated | 0.8× | ★★★★★ |
| UC Davis Medical Center (Sacramento) | Hospital | $188cash | 0.9× | ★★★★★ |
| Dignity Northridge Hospital Medical Center (Northridge) | Hospital | $196cash | 0.9× | ★★★★★ |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $201cash | 0.9× | — |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $201cash | 0.9× | ★★★★★ |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $201cash | 0.9× | ★★★★★ |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $201cash | 0.9× | — |
| UCI Medical Center (Orange) | Hospital | $223cash | 1.0× | ★★★★★ |
| USC Arcadia Hospital (Arcadia) | Hospital | $228cash | 1.1× | — |
| Community Regional Medical Center (Fresno) | Hospital | $244negotiated | 1.1× | — |
| Clovis Community Medical Center (Clovis) | Hospital | $244negotiated | 1.1× | — |
| Dignity St. Mary Medical Center (Long Beach) | Hospital | $245cash | 1.1× | — |
| Dignity Bakersfield Memorial Hospital (Bakersfield) | Hospital | $253cash | 1.2× | — |
| Tri-City Medical Center (Oceanside) | Hospital | $260cash | 1.2× | — |
| Dignity Glendale Memorial Hospital (Glendale) | Hospital | $264cash | 1.2× | — |
| Dignity St. Joseph's Medical Center (Stockton) | Hospital | $265cash | 1.2× | — |
| Highland Hospital – Alameda Health System (Oakland) | Hospital | $274cash | 1.3× | — |
| Desert Regional Medical Center (Palm Springs) | Hospital | $287cash | 1.3× | — |
| Providence Mission Hospital (Mission Viejo) | Hospital | $352cash | 1.6× | ★★★★★ |
| Providence St. Mary Medical Center (Apple Valley) | Hospital | $363cash | 1.7× | — |
| Providence Queen of the Valley Medical Center (Napa) | Hospital | $386cash | 1.8× | — |
| Dignity California Hospital Medical Center (Los Angeles) | Hospital | $393cash | 1.8× | — |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $400cash | 1.9× | ★★★★★ |
| Keck Hospital of USC (Los Angeles) | Hospital | $429cash | 2.0× | ★★★★★ |
| Dignity Sequoia Hospital (Redwood City) | Hospital | $430cash | 2.0× | ★★★★★ |
| Stanford Health Care (Stanford) | Hospital | $432cash | 2.0× | ★★★★★ |
| Providence St. Joseph Hospital (Orange) | Hospital | $437cash | 2.0× | ★★★★★ |
| Providence Santa Rosa Memorial Hospital (Santa Rosa) | Hospital | $499cash | 2.3× | — |
| Dignity St. Bernardine Medical Center (San Bernardino) | Hospital | $518cash | 2.4× | — |
| Sharp Chula Vista Medical Center (Chula Vista) | Hospital | $584cash | 2.7× | — |
| Sharp Memorial Hospital (San Diego) | Hospital | $584cash | 2.7× | ★★★★★ |
| Kaweah Health Medical Center (Visalia) | Hospital | $586cash | 2.7× | — |
| Sharp Coronado Hospital (Coronado) | Hospital | $613cash | 2.8× | ★★★★★ |
| Sharp Grossmont Hospital (La Mesa) | Hospital | $613cash | 2.8× | ★★★★★ |
| Dignity Mercy Medical Center Redding (Redding) | Hospital | $665cash | 3.1× | — |
| Riverside Community Hospital (Riverside) | Hospital | $718cash | 3.3× | — |
| Rady Children's Hospital (San Diego) | Hospital | $820cash | 3.8× | — |
| MemorialCare Long Beach Medical Center (Long Beach) | Hospital | $828cash | 3.8× | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $828cash | 3.8× | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $828cash | 3.8× | ★★★★★ |
| JFK Memorial Hospital (Indio) | Hospital | $866cash | 4.0× | — |
| Natividad Medical Center (Salinas) | Hospital | $1,025cash | 4.8× | — |
| Cedars-Sinai Medical Center (Los Angeles) gross charge | Hospital | $1,589cash | 7.4× | ★★★★★ |
| Good Samaritan Hospital (San Jose) gross charge | Hospital | $1,882cash | 8.7× | — |
| Dignity Dominican Hospital (Santa Cruz) gross charge | Hospital | $2,083cash | 9.7× | — |
| Los Robles Health System (Thousand Oaks) gross charge | Hospital | $2,931cash | 13.6× | — |
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. 5 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- For 99205 (Office visit, new patient, level 5), Medicare's benchmark rate is $215.75. A fair self-pay target for this line is $319.44. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99205 is $319.44, and negotiated rates at nearby facilities run $176.08–$583.50. 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 California?
For office visit, new patient, level 5 (CPT 99205) in California, a fair self-pay price is around $257, with hospitals ranging from $176 to $584 across 63 facilities. Medicare's benchmark rate is $216, the floor to negotiate toward. 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 California?
A fair self-pay price for office visit, new patient, level 5 (CPT 99205) in California is around $257, with hospital prices ranging from $176 to $584 across 63 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99205?
Medicare pays about $216 for office visit, new patient, level 5 (CPT 99205). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
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.
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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.