Price Checker / CPT 99202
How much does New patient office visit — short cost?
CPT 99202 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 6.2x the fair price. This is well above fair — push back or dispute it.
Fair price
$280–$330
What this should cost
With insurance
~$336,800
Typical out-of-pocket
Overcharged if over
$410
Push back above this
The average hospital charge of $1,907 is $1,597 over the fair price (about 6.2x the fair rate).
What hospitals charge for New patient office visit — short
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| WTH Dyersburg Hospital , TN | — | $58 | 30137% |
| UPMC Western Psychiatric , PA | $297 | $238 | 295% |
| RAPPAHANNOCK GENERAL HOSPITAL Kilmarnock, VA | $291 | — | 287% |
| Connally Memorial Health Centers - Main Campus Floresville, TX | $100 | — | 193% |
| Edgerton Hospital and Health Services EDGERTON, WI | $209 | $153 | 178% |
| Connally Memorial Health Centers - North Campus Floresville, TX | $100 | — | 151% |
| Pathways Behavioral Health Services , TN | $177 | $177 | 136% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $174 | $139 | 132% |
| Connally Memorial Health Centers - La Vernia Campus Floresville, TX | $100 | — | 107% |
| EHHS Milton Clinic Medicare , WI | $146 | $107 | 94% |
| MARCUM & WALLACE HOSPITAL Irvine, KY | $295 | — | 86% |
| Barnes-Kasson County Hospital SUSQUEHANNA, PA | $102 | $71 | 36% |
| Henry Ford Brighton Center for Recovery Brighton, MI | — | — | 1% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About New patient office visit — short
CPT code 99202 refers to new patient office visit — short (billing description: "Office o/p new sf 15 min"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $41 in a facility (hospital or surgery center) and $75 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.