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
OFFICE/OUTPT NEW IV
Low
$0
Average
$865
Median
$157
High
$88.2k
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 336 hospitals; the 90th percentile is 4.2× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Samaritan Medical Center Watertown, NY | $129 | $131 | $35 | 26% | 1,382–2,534 | $25 – $784 |
| 2 | Bexar County Hospital District San Antonio, TX | $80 | $98 | $45 | 46% | 591–627 | $50 – $1k |
| 3 | Lake Charles Memorial Hospital Charles, LA | $123 | $125 | $4 | 3% | 556 | $57 – $389 |
| 4 | Self Regional Healthcare Greenwood, SC | $133 | $111 | $46 | 41% | 462–498 | $20 – $341 |
| 5 | Tacoma General Allenmore Hospital Tacoma, WA | $310 | $310 | $19 | 6% | 306 | $291 – $329 |
| 6 | Northeastern Vermont Regional Hospital, Inc. St. Johnsbury, VT | $94 | $80 | $46 | 57% | 244 | $25 – $262 |
| 7 | Stony Brook University Hospital Stony Brook, NY | $139 | $169 | $67 | 40% | 234–459 | $127 – $4.3k |
| 8 | Good Samaritan Hospital Puyallup, WA | $310 | $310 | $19 | 6% | 175 | $291 – $329 |
| 9 | Sanford Fargo Medical Center Fargo, ND | $137 | $179 | $71 | 40% | 72–90 | $92 – $297 |
| 10 | Tucson Medical Center Tucson, AZ | $246 | $246 | $68 | 28% | 71 | $55 – $315 |
Ask Claude or any MCP client for CPT 99204 pricing at a specific hospital — see how to connect.