How much does office visit, new patient, level 4 cost in San Antonio, TX?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for San Antonio, TX.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| CHRISTUS Santa Rosa Hospital – Westover Hills (San Antonio) lowest ⚠ likely error | Hospital | $37cash | 0.2× | — |
| University Hospital - University Health (San Antonio) | Hospital | $100cash | 0.6× | — |
| Methodist Hospital Texsan (San Antonio) | Hospital | $1,101cash | 6.7× | — |
| Methodist Hospital Stone Oak (San Antonio) | Hospital | $1,101cash | 6.7× | ★★★★★ |
| Methodist Hospital (San Antonio) | Hospital | $1,101cash | 6.7× | ★★★★★ |
| Methodist Hospital Metropolitan (San Antonio) | Hospital | $1,101cash | 6.7× | — |
| North Central Baptist Hospital (San Antonio) | Hospital | $1,488cash | 9.1× | — |
| Northeast Baptist Hospital (San Antonio) | Hospital | $1,488cash | 9.1× | — |
| St. Luke's Baptist Hospital (San Antonio) | Hospital | $1,488cash | 9.1× | — |
- For 99204 (Office visit, new patient, level 4), Medicare's benchmark rate is $163.35. A fair self-pay target for this line is $326.70. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99204 is $1,101.19, and negotiated rates at nearby facilities run $600.60–$1,488.00. 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.
What should 99204 cost in San Antonio, TX?
For office visit, new patient, level 4 (CPT 99204) in San Antonio, TX, a fair self-pay price is around $1,101, with hospitals ranging from $601 to $1,488 across 9 facilities. Medicare's benchmark rate is $163, 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 4 cost in San Antonio, TX?
A fair self-pay price for office visit, new patient, level 4 (CPT 99204) in San Antonio, TX is around $1,101, with hospital prices ranging from $601 to $1,488 across 9 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99204?
Medicare pays about $163 for office visit, new patient, level 4 (CPT 99204). 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 4?
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 Antonio, TX
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.