CPT99204

Office Visit (New, Moderate-High) Cost in New York

Office o/p new mod 45 min

$193.89New York physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
Complete Cost Report + Letters
Adds the letters that get a price in writing before you book.
$6.99
  • Everything in the Premium report
  • 15 nearby hospitals instead of five
  • Filled good-faith-estimate request letter
  • Bill-negotiation letter
  • Printable PDF download
🔒 Secure checkout⚡ Instant link✓ One-off, no account✓ No records, no insurance card

New York Medicare physician rate (2026)

+9.3% vs national

Average of 5 localities. Office range $170.85–$205.38.

New York (Hospital)
$126.45
Facility physician fee
Private plan est.
$252–$388
~130–200% of Medicare
Cash / self-pay est.
$155–$291
~80–150% of Medicare

Your ZIP in New York

New York's multiple localities make a ZIP-level check essential: compare Manhattan, Queens and the outer boroughs, Long Island, the Hudson Valley near Poughkeepsie, and upstate cities like Buffalo, Rochester, Syracuse, and Albany.

What office visit (new, moderate-high) costs at hospitals near you

Everything above is a national average. The hospital you pick in New York moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.

What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In New York the office and hospital physician lines for this CPT differ by $67.44.

National vs New York

National office$177.36
National hospital (physician)$116.90
New York vs national9% above the national office rate of $177.36

Where New York ranks for this CPT

Rank (lowest physician fee first)#49 of 51
Lowest stateArkansas ($161.84)
Highest stateAlaska ($222.54)

CPT 99204 by New York locality

LocalityOffice
nyc suburbs/long island$205.38
queens$201.47
manhattan$200.98
poughkpsie/n nyc suburbs$190.79
rest of new york$170.85

PE GPCI ranges from 0.950 to 1.189 in New York. That index is why the same CPT is not one price statewide.

Office Visit (New, Moderate-High) and how New York is priced

New York has one of the most complex locality maps in the country, with around five payment areas: Manhattan is its own locality, Queens is separately priced, the NYC suburbs and Long Island form another high-cost locality, the Poughkeepsie area has its own, and the rest of the state, including Buffalo, Rochester, Syracuse, and Albany, shares a distinctly lower-priced upstate locality. The spread between Manhattan and upstate adjustments is among the widest within any state. A knee MRI or office visit is approved at meaningfully different amounts in Manhattan, Mineola, and Rochester. Upstate New York prices closer to the Midwest than to the five boroughs.

New York City is a global medical capital with world-famous academic medical centers competing within blocks of each other, while upstate cities each center on their own regional academic hubs. Long Island and the lower Hudson Valley support dense suburban hospital markets of their own. The upstate-downstate divide runs through everything in New York health care, including what providers charge and what patients can access locally.

This procedure: This is a new-patient office visit of moderate to high complexity: your first visit to a practice in three years for a problem with real depth, such as multiple symptoms needing workup, a new chronic disease like diabetes, or several interacting conditions. When billed by time it represents 45 to 59 minutes on the visit date. It is the most commonly billed new-patient level in the United States, the default for a substantive first specialist or primary care appointment.

What Is Office Visit (New, Moderate-High)?

This is a new-patient office visit of moderate to high complexity: your first visit to a practice in three years for a problem with real depth, such as multiple symptoms needing workup, a new chronic disease like diabetes, or several interacting conditions. When billed by time it represents 45 to 59 minutes on the visit date. It is the most commonly billed new-patient level in the United States, the default for a substantive first specialist or primary care appointment.

What Affects the Cost

  • As the workhorse new-patient code, it prices well above 99203, and the level is set by the visit's complexity, not by what you expected walking in.
  • Specialist consultations commonly bill at this level, and specialist charge rates exceed primary care for the same code.
  • Diagnostic workups launched at this visit, labs, imaging referrals, and tests, are where the episode's real spending usually begins.
  • Facility fees at hospital-owned clinics inflate this visit substantially compared with independent offices.
  • Prolonged-service add-on codes can stack on top if the visit runs well past an hour.

Questions to Ask Before Booking

  • 1.Does my plan require a referral for this specialist before the visit is covered?
  • 2.What is the negotiated or cash price for a level-four new-patient visit here?
  • 3.Which tests are you likely to order, and which of those need prior authorization?
  • 4.Is there a facility fee because this clinic is hospital-owned?
  • 5.If the visit runs long, could additional prolonged-service charges apply?

Office Visit (New, Moderate-High) in New York: questions

The 2026 Medicare physician office rate for CPT 99204 averages $193.89 across 5 New York localities, from $170.85 in REST OF NEW YORK to $205.38 in NYC SUBURBS/LONG ISLAND. The hospital physician rate averages $126.45. Enter a ZIP for the exact locality.

Yes. CMS splits New York into 5 payment localities. For this CPT the office physician fee spans $34.53 from the lowest to highest locality. New York's multiple localities make a ZIP-level check essential: compare Manhattan, Queens and the outer boroughs, Long Island, the Hudson Valley near Poughkeepsie, and upstate cities like Buffalo, Rochester, Syracuse, and Albany.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $39 for the office physician line or $25 for the hospital physician line in New York. Medigap may cover that 20%. This is not the hospital facility fee.

No. $193.89 is the Medicare physician allowed amount for CPT 99204. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. New York ranks #49 of 51 states on this physician line (9% above the national office rate of $177.36).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.