How much does office visit, new patient, level 4 cost in Utah?
CPT 99204 — the fair price, every hospital's price, and the Medicare benchmark for Utah.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Gerald Champion Regional Medical Center (Alamogordo) lowest | Hospital | $246negotiated | 1.0× | — |
| Lovelace Westside Hospital (Albuquerque) | Hospital | $901cash | 3.7× | — |
| Lovelace Women's Hospital (Albuquerque) | Hospital | $901cash | 3.7× | — |
| Presbyterian Kaseman Hospital (Albuquerque) | Hospital | $1,063cash | 4.4× | — |
| Presbyterian Hospital (Albuquerque) | Hospital | $1,063cash | 4.4× | — |
| Presbyterian Rust Medical Center (Rio Rancho) | Hospital | $1,063cash | 4.4× | — |
| Carlsbad Medical Center (Carlsbad) | Hospital | $1,137cash | 4.7× | — |
| Lovelace Medical Center (Albuquerque) | Hospital | $1,178cash | 4.9× | — |
| University of New Mexico Hospital (Albuquerque) | Hospital | $1,178cash | 4.9× | — |
| Socorro General Hospital (Socorro) | Hospital | $1,287cash | 5.3× | — |
| Presbyterian Espanola Hospital (Espanola) | Hospital | $1,320cash | 5.5× | — |
| Presbyterian Santa Fe Medical Center (Santa Fe) | Hospital | $1,320cash | 5.5× | — |
| Plains Regional Medical Center (Clovis) | Hospital | $1,541cash | 6.4× | — |
| Lincoln County Medical Center (Ruidoso) | Hospital | $1,718cash | 7.1× | — |
| Holy Cross Medical Center (Taos) | Hospital | $1,885cash | 7.8× | — |
| San Juan Regional Medical Center (Farmington) | Hospital | $1,915cash | 7.9× | — |
| Mimbres Memorial Hospital (Deming) | Hospital | $2,085cash | 8.6× | — |
| Covenant Health Hobbs Hospital (Hobbs) | Hospital | $2,193cash | 9.1× | — |
| Dr. Dan C. Trigg Memorial Hospital (Tucumcari) | Hospital | $2,308cash | 9.5× | — |
| Memorial Medical Center (Las Cruces) | Hospital | $2,368cash | 9.8× | — |
| Artesia General Hospital (Artesia) | Hospital | $2,627cash | 10.9× | — |
| Cibola General Hospital (Grants) | Hospital | $2,840cash | 11.7× | — |
| Lovelace Regional Hospital (Roswell) | Hospital | $2,856cash | 11.8× | — |
| Eastern New Mexico Medical Center (Roswell) | Hospital | $2,914cash | 12.1× | — |
| MountainView Regional Medical Center (Las Cruces) | Hospital | $3,100cash | 12.8× | — |
| Gila Regional Medical Center (Silver City) | Hospital | $3,210cash | 13.3× | — |
| Nor-Lea Hospital District (Lovington) | Hospital | $3,900cash | 16.1× | — |
| Los Alamos Medical Center (Los Alamos) | Hospital | $4,156cash | 17.2× | — |
- For 99204 (Office visit, new patient, level 4), Medicare's benchmark rate is $241.72. A fair self-pay target for this line is $483.44. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99204 is $1,885.20, and negotiated rates at nearby facilities run $1,147.58–$2,786.41. 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 Utah?
For office visit, new patient, level 4 (CPT 99204) in Utah, a fair self-pay price is around $1,802, with hospitals ranging from $1,148 to $2,786 across 28 facilities. Medicare's benchmark rate is $242, 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 Utah?
A fair self-pay price for office visit, new patient, level 4 (CPT 99204) in Utah is around $1,802, with hospital prices ranging from $1,148 to $2,786 across 28 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99204?
Medicare pays about $242 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 Utah
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.