Outpatient new patient office visit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC VISIT NEW PATIENT LEVEL 3

Molina pricing summary

Low

Average

$147

Median

$102

High

$2.4k

Molina rate distribution

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757 hospital rates

#		Plans
1	Seattle Children's Hospital Seattle, WA professional · fee schedule · both	2	$103	$103	$24	23%	1,300	$80 – $127
2	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both	6	$66	$67	$7	11%	750–768	$58 – $81
3	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient	5	$111	$105	$29	27%	548	$75 – $153
4	Mercy Health Saint Marys Rockford, MI professional · fee schedule · both	5	$111	$104	$30	28%	378	$72 – $153
5	Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges	1	$95	$95	—	—	176	$95 – $95
6	Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges	7	$105	$169	$139	83%	170–188	$69 – $510
7	Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient	5	$92	$108	$37	34%	103–121	$83 – $182
8	Public Hospital District No 4 King County WA Snoqualmie, WA fee schedule · outpatient	3	$95	$105	$55	53%	91	$24 – $220
9	Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both	6	$66	$67	$7	11%	88	$58 – $81
10	St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient	5	$117	$117	$24	20%	88–106	$96 – $161
11	Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges	1	$167	$133	$47	35%	79	$67 – $167
12	Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both	5	$108	$128	$44	34%	76–94	$97 – $215
13	Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient	4	$103	$108	$13	12%	61–70	$94 – $130
14	Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient	4	$87	$88	$25	29%	53–62	$61 – $116
15	HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges	1	$46	$51	$19	37%	36	$31 – $77
16	Nor-Lea Hospital District Lovington, NM professional · fee schedule · both	1	$81	$81	—	—	30	$81 – $81
17	Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges	1	$49	$49	—	—	24	$49 – $49
18	PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both	1	$123	$123	—	—	19	$123 – $123
19	PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both	1	$123	$123	—	—	19	$123 – $123
20	Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges	1	$149	$149	—	—	16	$149 – $149
21	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient	2	$109	$109	$39	36%	16	$69 – $148
22	Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges	1	$33	$34	$14	39%	15	$19 – $52
23	Stony Brook University Hospital Stony Brook, NY facility · other · outpatient	1	$223	$219	$5	2%	15–33	$212 – $223
24	The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges	1	$97	$97	—	—	15	$97 – $97
25	Bexar County Hospital District San Antonio, TX other · outpatient	1	$60	$60	—	—	13	$60 – $60

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CPT 99203