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
$5
Average
$136
Median
$110
High
$466
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
191 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.
Filter by billing methodology
Filter by billing class
238 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 1 | $100 | $100 | — | — | 92 | $100 – $100 |
| 2 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $97 | $97 | $34 | 35% | 32–149 | $63 – $132 |
| 3 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | 24 | $370 – $370 |
| 4 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · outpatient | 1 | $135 | $135 | — | — | 14 | $135 – $135 |
| 5 | Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient | 1 | $183 | $183 | $6 | 3% | 2–20 | $177 – $189 |
| 6 | Community Health Association Ripley, WV facility · other · outpatient | 1 | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 7 | Mount Carmel Dublin Dublin, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 1–10 | $285 – $285 |
| 8 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $370 | $370 | — | — | 1–10 | $370 – $370 |
| 9 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 1–10 | $425 – $425 |
| 10 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 11 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 12 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 13 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 14 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 15 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 16 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 17 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 18 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | $3 | 4% | — | $70 – $76 |
| 19 | CATHOLIC MEDICAL CENTER MANCHESTER, NH percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | $0 | 1% | — | $56 – $57 |
| 20 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 21 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 22 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 23 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 24 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 25 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7