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
$50
Average
$7.9k
Median
$331
High
$3705.3k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
497 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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718 hospital rates
iThe hospitals that file a First Health 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 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $125 | $125 | — | — | 170 | $125 – $125 |
| 2 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $254 | $254 | $26 | 10% | 114 | $228 – $280 |
| 3 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $190 | $190 | — | — | 52 | $190 – $190 |
| 4 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $152 | $44 | 29% | 17 | $90 – $212 |
| 5 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $152 | $44 | 29% | 17 | $90 – $212 |
| 6 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $153 | $106 | 69% | 4–40 | $83 – $337 |
| 7 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $279 | $279 | $18 | 6% | 3–30 | $257 – $301 |
| 8 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $196 | $97 | 50% | 3–30 | $118 – $333 |
| 9 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $196 | $97 | 50% | 3–30 | $118 – $333 |
| 10 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 2 | $317 | $347 | $191 | 55% | 2–20 | $160 – $592 |
| 11 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $324 | $324 | $12 | 4% | 2–20 | $312 – $336 |
| 12 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO percent of total billed charges · bothfrom % of charges | 5 | $102 | $102 | — | — | 2–20 | $102 – $102 |
| 13 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $152 | $152 | $52 | 35% | 1–10 | $99 – $204 |
| 14 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · outpatient | 2 | $153 | $153 | $1 | 1% | 1–10 | $152 – $154 |
| 15 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 2 | $638 | $638 | — | — | — | $638 – $638 |
| 16 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 17 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 18 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 19 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 20 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $171 | $189 | $107 | 57% | — | $68 – $329 |
| 21 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | $25 | 8% | — | $300 – $350 |
| 22 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | $25 | 8% | — | $300 – $350 |
| 23 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | $25 | 8% | — | $300 – $350 |
| 24 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $724 | $724 | — | — | — | $724 – $724 |
| 25 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $724 | $724 | — | — | — | $724 – $724 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7