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
$98
Average
$228
Median
$155
High
$1.1k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
61 hospitals; the 90th percentile is 2.6× 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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98 hospital rates
iThe hospitals that file a Carefirst 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 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $285 | $285 | — | — | 56–65 | $285 – $285 |
| 2 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $148 | $138 | $18 | 13% | 22–40 | $113 – $152 |
| 3 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $218 | $191 | $69 | 36% | 16–25 | $100 – $253 |
| 4 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $174 | $155 | $30 | 19% | 13–22 | $113 – $179 |
| 5 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 12–21 | $425 – $425 |
| 6 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $152 | $152 | — | — | 3–30 | $152 – $152 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $148 | $143 | $46 | 32% | 2–20 | $93 – $189 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 3 | $153 | $147 | $39 | 27% | 2–20 | $102 – $186 |
| 9 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 3 | $251 | $246 | $94 | 38% | 2–20 | $146 – $339 |
| 10 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 2–20 | $425 – $425 |
| 11 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 3 | $178 | $155 | $34 | 22% | 2–20 | $108 – $179 |
| 12 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 3 | $167 | $161 | $57 | 35% | 2–20 | $99 – $218 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $148 | $143 | $46 | 32% | 1–10 | $93 – $189 |
| 14 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 2 | $90 | $100 | $13 | 13% | 1–10 | $90 – $119 |
| 15 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 3 | $126 | $122 | $38 | 31% | 1–10 | $81 – $161 |
| 16 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 3 | $177 | $173 | $17 | 10% | 1–10 | $154 – $190 |
| 17 | Mount Carmel Dublin Dublin, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 1–10 | $285 – $285 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 3 | $189 | $187 | $83 | 44% | 1–10 | $103 – $270 |
| 19 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $178 | $167 | $16 | 10% | 1–10 | $144 – $179 |
| 20 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · outpatient | 3 | $135 | $133 | $12 | 9% | 1–10 | $114 – $144 |
| 21 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 3 | $148 | $143 | $46 | 32% | — | $93 – $189 |
| 22 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 3 | $148 | $143 | $46 | 32% | — | $93 – $189 |
| 23 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $148 | $143 | $46 | 32% | — | $93 – $189 |
| 24 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $171 | $158 | $47 | 30% | — | $100 – $203 |
| 25 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $107 | $128 | $33 | 26% | — | $102 – $175 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7