How much does office visit, new patient, level 5 cost in Phoenix, AZ?

CPT 99205 — the fair price, every hospital's price, and the Medicare benchmark for Phoenix, AZ.

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
$432
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
What Medicare paysⓘ
$216
Typical price near you
$629
Cash / self-pay price
$629
Prices near you — 28 facilities, lowest first
FacilityTypePricevs MedicareQuality
Banner Thunderbird Medical Center (Glendale) lowest ⚠ likely error Hospital $11cash 0.0× ★★★★★
Phoenix Children's Hospital Hospital $99negotiated 0.5× —
Banner Boswell Medical Center (Sun City) Hospital $142cash 0.7× ★★★★★
Banner Estrella Medical Center (Phoenix) Hospital $177cash 0.8× ★★★★★
Banner Desert Medical Center (Mesa) Hospital $180cash 0.8× ★★★★★
Valleywise Health Medical Center Hospital $182negotiated 0.8× ★★★★★
Banner – University Medical Center Phoenix Hospital $281cash 1.3× ★★★★★
Dignity Mercy Gilbert Medical Center Hospital $289cash 1.3× ★★★★★
Dignity Chandler Regional Medical Center Hospital $314cash 1.5× ★★★★★
Dignity St. Joseph's Hospital (Phoenix) Hospital $324cash 1.5× ★★★★★
Banner Baywood Medical Center (Mesa) Hospital $553cash 2.6× ★★★★★
HonorHealth Sonoran Crossing (Phoenix) Hospital $629cash 2.9× ★★★★★
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. 3 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 $431.50. If I was charged more than that, please reduce it toward this benchmark.
  • Your own published cash / self-pay price for 99205 is $629.00, and negotiated rates at nearby facilities run $282.77–$1,399.79. 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.
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What should 99205 cost in Phoenix, AZ?

For office visit, new patient, level 5 (CPT 99205) in Phoenix, AZ, a fair self-pay price is around $629, with hospitals ranging from $283 to $1,400 across 28 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 Phoenix, AZ?

A fair self-pay price for office visit, new patient, level 5 (CPT 99205) in Phoenix, AZ is around $629, with hospital prices ranging from $283 to $1,400 across 28 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.