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
$1
Average
$324
Median
$222
High
$7.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
481 hospitals; the 90th percentile is 5.0× 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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835 hospital rates
iThe hospitals that file a Anthem 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 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 6 | $190 | $176 | $15 | 8% | 3,386–3,458 | $154 – $190 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 1,889–1,997 | $425 – $425 |
| 3 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 6 | $241 | $211 | $50 | 24% | 1,379–1,469 | $100 – $253 |
| 4 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $119 | $119 | — | — | 1,340 | $119 – $119 |
| 5 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 3 | $167 | $149 | $31 | 21% | 638–665 | $93 – $167 |
| 6 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $279 | $279 | — | — | 411 | $279 – $279 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $179 | $168 | $20 | 12% | 400–445 | $113 – $179 |
| 8 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 316–397 | $425 – $425 |
| 9 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 3 | $339 | $256 | $90 | 35% | 283–382 | $146 – $339 |
| 10 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | 268–286 | $370 – $370 |
| 11 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 3 | $218 | $169 | $53 | 32% | 173–254 | $99 – $218 |
| 12 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $221 | $261 | $151 | 58% | 122–176 | $109 – $563 |
| 13 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $152 | $145 | $12 | 8% | 122–212 | $113 – $152 |
| 14 | Lafayette County Darlington, WI facility · other · inpatient | 2 | $157 | $157 | — | — | 119 | $157 – $157 |
| 15 | Lafayette County Darlington, WI facility · other · outpatient | 1 | $157 | $157 | — | — | 108 | $157 – $157 |
| 16 | Mount Carmel Dublin Dublin, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 85–139 | $285 – $285 |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 3 | $270 | $195 | $81 | 42% | 80–170 | $103 – $270 |
| 18 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $659 | $659 | $319 | 48% | 66 | $340 – $978 |
| 19 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $189 | $150 | $42 | 28% | 62–143 | $93 – $189 |
| 20 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 3 | $179 | $170 | $23 | 13% | 54–144 | $108 – $179 |
| 21 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $179 | $174 | $11 | 6% | 50–122 | $144 – $179 |
| 22 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $370 | $370 | — | — | 36–45 | $370 – $370 |
| 23 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 2 | $738 | $738 | $60 | 8% | 33–42 | $677 – $798 |
| 24 | Plymouth Medical Center Plymouth, IN professional · fee schedule · outpatient | 6 | $190 | $153 | $39 | 25% | 18–81 | $109 – $190 |
| 25 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $162 | $162 | — | — | 15 | $162 – $162 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7