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
$270
Median
$202
High
$1.9k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
203 hospitals; the 90th percentile is 3.2× 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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279 hospital rates
iThe hospitals that file a Ambetter 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 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $176 | $176 | — | — | 176 | $176 – $176 |
| 2 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | 95 | $164 – $164 |
| 3 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 1 | $173 | $173 | — | — | 94 | $173 – $173 |
| 4 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $542 | $453 | $165 | 36% | 87 | $80 – $583 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $162 | $162 | — | — | 56 | $162 – $162 |
| 6 | The University of Kansas Health System Great Bend Campus Bend, KS fee schedule · outpatient | 1 | $190 | $181 | $13 | 7% | 53 | $162 – $190 |
| 7 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $186 | $90 | 48% | 42 | $109 – $313 |
| 8 | Nazareth Hospital Philadelphia, PA professional · fee schedule · outpatient | 1 | $173 | $173 | — | — | 42 | $173 – $173 |
| 9 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · outpatient | 1 | $163 | $163 | — | — | 34 | $163 – $163 |
| 10 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 1 | $140 | $140 | — | — | 34 | $140 – $140 |
| 11 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | $53 | 35% | 31 | $98 – $204 |
| 12 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | $28 | 17% | 19 | $140 – $195 |
| 13 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $187 | $158 | $55 | 35% | 17–26 | $66 – $216 |
| 14 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 1 | $136 | $136 | — | — | 16 | $136 – $136 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $187 | $187 | — | — | 11 | $187 – $187 |
| 16 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $672 | $672 | $41 | 6% | 2–20 | $632 – $713 |
| 17 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | — | — | 1–10 | $196 – $196 |
| 18 | MISSION HOSPITAL Arden, NC percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | 1–10 | $142 – $142 |
| 19 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ other · outpatient | 1 | $401 | $401 | — | — | 1–10 | $401 – $401 |
| 20 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 21 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 22 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $197 | $197 | $22 | 11% | — | $175 – $219 |
| 23 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 24 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 25 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7