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.
Original text from hospital filings
New Patient Level 4 Mod Comp
Low
$0
Average
$1.2k
Median
$156
High
$19.8k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 352 hospitals; the 90th percentile is 28.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Avera Marshall Hospital Marshall, MN | $115 | $115 | — | — | 171 | $105 – $492 |
| 2 | St. Lukes Hospital of Kansas City City, KS | $70 | $70 | $22 | 31% | 36–216 | $0 – $344 |
| 3 | Avera McKennan Hospital Sioux Falls, SD | $208 | $212 | $85 | 40% | 31–112 | $60 – $482 |
| 4 | Avera Queen of Peace Mitchell, SD | $124 | $124 | — | — | 22 | $61 – $543 |
| 5 | Saint Luke’s Hospital of Trenton Trenton, MO | $233 | $229 | $6 | 3% | 15–51 | $39 – $233 |
| 6 | Saint Luke’s of Garnett Garnett, KS | $188 | $194 | $79 | 41% | 14–140 | $52 – $364 |
| 7 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO | $271 | $276 | $23 | 8% | 10–100 | $35 – $318 |
| 8 | Saint Luke’s North Hospital Smithville, MO | $66 | $66 | $20 | 31% | 10–100 | $0 – $344 |
| 9 | Saint Luke’s North Hospital City, KS | $66 | $66 | $20 | 31% | 10–100 | $0 – $344 |
| 10 | Saint Luke’s East Hospital Summit, MO | $66 | $66 | $20 | 31% | 6–60 | $0 – $344 |
Ask Claude or any MCP client for CPT 99204 pricing at a specific hospital — see how to connect.