How much does office visit, new patient, level 5 cost in Utah?
CPT 99205 — the fair price, every hospital's price, and the Medicare benchmark for Utah.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Ashley Regional Medical Center (Vernal) lowest | Hospital | $127cash | 0.6× | ★★★★★ |
| University of Utah Hospital & Huntsman Cancer (Salt Lake City) | Hospital | $131cash | 0.6× | ★★★★★ |
| Holy Cross Hospital - Salt Lake (Salt Lake City) | Hospital | $168negotiated | 0.8× | ★★★★★ |
| Holy Cross Hospital - Davis (Layton) | Hospital | $168negotiated | 0.8× | ★★★★★ |
| Holy Cross Hospital - Jordan Valley (West Jordan) | Hospital | $168negotiated | 0.8× | ★★★★★ |
| Holy Cross Hospital - Mountain Point (Lehi) | Hospital | $168negotiated | 0.8× | — |
| Intermountain McKay-Dee Hospital (Ogden) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain Riverton Hospital (Riverton) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain Utah Valley Hospital (Provo) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain Alta View Hospital (Sandy) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain St. George Regional Hospital (St. George) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain Medical Center (Murray) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain Layton Hospital (Layton) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain Cedar City Hospital (Cedar City) | Hospital | $251cash | 1.2× | ★★★★★ |
| LDS Hospital (Salt Lake City) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain Park City Hospital (Park City) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain Logan Regional Hospital (Logan) | Hospital | $251cash | 1.2× | ★★★★★ |
| Intermountain American Fork Hospital (American Fork) | Hospital | $251cash | 1.2× | ★★★★★ |
| Moab Regional Hospital (Moab) | Hospital | $256cash | 1.2× | — |
| Primary Children's Hospital (Salt Lake City) | Hospital | $320cash | 1.5× | — |
| San Juan Hospital (Monticello) | Hospital | $334cash | 1.5× | — |
| Kane County Hospital (Kanab) | Hospital | $371negotiated | 1.7× | — |
| Mountain View Hospital (Payson) | Hospital | $499cash | 2.3× | ★★★★★ |
| Timpanogos Regional Hospital (Orem) | Hospital | $619cash | 2.9× | ★★★★★ |
| Ogden Regional Medical Center (Ogden) | Hospital | $619cash | 2.9× | ★★★★★ |
| St. Mark's Hospital (Salt Lake City) | Hospital | $692cash | 3.2× | ★★★★★ |
| Uintah Basin Medical Center (Roosevelt) | Hospital | $717cash | 3.3× | ★★★★★ |
| Brigham City Community Hospital (Brigham City) | Hospital | $929cash | 4.3× | — |
| Lakeview Hospital (Bountiful) gross charge | Hospital | $1,594cash | 7.4× | ★★★★★ |
| Cache Valley Hospital (North Logan) gross charge | Hospital | $2,167cash | 10.0× | — |
- For 99205 (Office visit, new patient, level 5), Medicare's benchmark rate is $215.75. A fair self-pay target for this line is $250.51. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99205 is $250.51, and negotiated rates at nearby facilities run $250.51–$529.04. 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 99205 cost in Utah?
For office visit, new patient, level 5 (CPT 99205) in Utah, a fair self-pay price is around $251, with hospitals ranging from $251 to $529 across 30 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 Utah?
A fair self-pay price for office visit, new patient, level 5 (CPT 99205) in Utah is around $251, with hospital prices ranging from $251 to $529 across 30 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.
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.