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
$341
Median
$216
High
$15.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
932 hospitals; the 90th percentile is 4.9× 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
1,540 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $474 | $478 | $16 | 3% | 10,377–10,395 | $464 – $511 |
| 2 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $705 | $630 | $102 | 16% | 7,881–7,935 | $492 – $705 |
| 3 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $522 | $507 | $56 | 11% | 6,457–6,475 | $449 – $626 |
| 4 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $179 | $167 | $22 | 13% | 4,236–4,362 | $113 – $179 |
| 5 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $183 | $183 | $8 | 4% | 4,172 | $174 – $200 |
| 6 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $523 | $494 | $90 | 18% | 3,249–3,258 | $373 – $587 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $339 | $260 | $89 | 34% | 2,882–3,026 | $146 – $339 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 5 | $152 | $144 | $13 | 9% | 2,153–2,315 | $113 – $152 |
| 9 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 3 | $162 | $155 | $19 | 12% | 2,150–2,159 | $108 – $162 |
| 10 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $253 | $211 | $54 | 25% | 1,366–1,501 | $100 – $253 |
| 11 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 1,294–1,402 | $425 – $425 |
| 12 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 5 | $270 | $199 | $80 | 40% | 1,237–1,390 | $103 – $270 |
| 13 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 5 | $179 | $169 | $24 | 14% | 1,152–1,260 | $108 – $179 |
| 14 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $179 | $174 | $12 | 7% | 1,118–1,226 | $144 – $179 |
| 15 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $162 | $162 | — | — | 1,072 | $162 – $162 |
| 16 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 12 | $196 | $178 | $55 | 31% | 858–903 | $45 – $218 |
| 17 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $219 | $219 | — | — | 778 | $219 – $219 |
| 18 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 3 | $190 | $177 | $15 | 8% | 725–833 | $154 – $190 |
| 19 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · inpatientfrom % of charges | 1 | $247 | $247 | $94 | 38% | 715 | $154 – $341 |
| 20 | Stanford Health Care Stanford, CA fee schedule · outpatient | 2 | $705 | $630 | $102 | 16% | 570–606 | $492 – $705 |
| 21 | Nazareth Hospital Philadelphia, PA professional · fee schedule · outpatient | 4 | $162 | $139 | $27 | 20% | 506–524 | $90 – $162 |
| 22 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 6 | $218 | $172 | $53 | 31% | 491–617 | $99 – $218 |
| 23 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 7 | $186 | $154 | $35 | 23% | 473–644 | $102 – $186 |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 4 | $177 | $279 | $170 | 61% | 460–487 | $110 – $531 |
| 25 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $20 | $20 | — | — | 458 | $20 – $20 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7