Price Checker / CPT 99203
How much does New patient office visit — standard cost?
CPT 99203 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$300–$360
What this should cost
With insurance
~$397,700
Typical out-of-pocket
Overcharged if over
$450
Push back above this
What hospitals charge for New patient office visit — standard
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| UPMC Western Psychiatric , PA | $385 | $308 | 227% |
| Northeast Texas Rural Health Clinic Mt. Pleasant, TX | $333 | — | 127% |
| Pathways Behavioral Health Services , TN | $263 | $263 | 124% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $210 | $168 | 79% |
| EHHS Milton Clinic Medicare , WI | $207 | $151 | 76% |
| NATCHAUG HOSPITAL MANSFIELD CENTER, CT | $202 | — | 72% |
| Molokai General Hospital KAUNAKAKAI, HI | $395 | — | 44% |
| JD McCarty Center Norman, OK | $105 | — | 36% |
| Henry Ford Brighton Center for Recovery Brighton, MI | — | — | -8% |
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 — standard
CPT code 99203 refers to new patient office visit — standard (billing description: "Office o/p new low 30 min"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $71 in a facility (hospital or surgery center) and $118 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.