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
HC VISIT NEW PATIENT LEVEL 4
Low
$0
Average
$2.5k
Median
$224
High
$2993.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1409 hospitals; the 90th percentile is 4.6× 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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2,466 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 5 | $183 | $215 | $68 | 32% | 3,522–3,531 | $100 – $304 |
| 2 | Stanford Health Care Stanford, CA fee schedule · both | 1 | $553 | $553 | — | — | 3,215–3,350 | $553 – $553 |
| 3 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $501 | $492 | $39 | 8% | 1,282–1,300 | $449 – $557 |
| 4 | St Peters Hospital Albany, NY professional · fee schedule · outpatient | 2 | $309 | $263 | $65 | 25% | 1,024 | $171 – $309 |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $501 | $501 | — | — | 783 | $501 – $501 |
| 6 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $644 | $644 | — | — | 756 | $644 – $644 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $168 | $185 | $41 | 22% | 596–614 | $113 – $249 |
| 8 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 2 | $114 | $114 | — | — | 586 | $114 – $114 |
| 9 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $211 | $211 | — | — | 585–603 | $211 – $211 |
| 10 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 4 | $167 | $167 | $42 | 25% | 558–567 | $100 – $232 |
| 11 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | 557 | $181 – $181 |
| 12 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 4 | $131 | $162 | $53 | 33% | 544–553 | $119 – $236 |
| 13 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $168 | $213 | $70 | 33% | 527 | $146 – $358 |
| 14 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $276 | $276 | — | — | 517 | $276 – $276 |
| 15 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 5 | $115 | $141 | $59 | 42% | 489 | $75 – $231 |
| 16 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $484 | $484 | — | — | 395 | $484 – $484 |
| 17 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | 383 | $118 – $118 |
| 18 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $560 | $564 | $74 | 13% | 337 | $467 – $671 |
| 19 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | 319 | $370 – $370 |
| 20 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $111 | $111 | — | — | 308 | $111 – $111 |
| 21 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 5 | $164 | $172 | $21 | 12% | 304 | $154 – $219 |
| 22 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 5 | $143 | $160 | $31 | 19% | 295–304 | $113 – $212 |
| 23 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 4 | $108 | $150 | $66 | 44% | 289 | $91 – $243 |
| 24 | Stanford Health Care Stanford, CA fee schedule · outpatient | 1 | $553 | $553 | — | — | 235–280 | $553 – $553 |
| 25 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $89 | $89 | $64 | 72% | 220–319 | $25 – $154 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7