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
$2.5k
Median
$167
High
$2044.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
905 hospitals; the 90th percentile is 4.5× 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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1,362 hospital rates
iThe hospitals that file a Humana 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 | 6 | $167 | $173 | $41 | 24% | 281 | $99 – $232 |
| 2 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $484 | $484 | — | — | 255 | $484 – $484 |
| 3 | West Virginia Health Care Cooperative Inc. Summersville, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | $10 | 10% | 229 | $95 – $115 |
| 4 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 4 | $183 | $163 | $32 | 20% | 211 | $100 – $183 |
| 5 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $140 | $45 | 32% | 209–218 | $110 – $217 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 4 | $164 | $160 | $5 | 3% | 179–188 | $154 – $164 |
| 7 | Nor-Lea Hospital District Lovington, NM professional · fee schedule · outpatient | 1 | $63 | $63 | — | — | 172 | $63 – $63 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $143 | $135 | $13 | 9% | 138 | $113 – $143 |
| 9 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $257 | $257 | — | — | 122 | $257 – $257 |
| 10 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $163 | $172 | $31 | 18% | 122–140 | $146 – $241 |
| 11 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $168 | $154 | $24 | 15% | 116 | $113 – $168 |
| 12 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 94 | $425 – $425 |
| 13 | St Peters Hospital Albany, NY professional · fee schedule · outpatient | 1 | $151 | $151 | — | — | 82 | $151 – $151 |
| 14 | Grant Memorial Hospital Inc Petersburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $92 | $41 | 45% | 64–73 | $26 – $135 |
| 15 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 2 | $154 | $154 | $26 | 17% | 55 | $129 – $180 |
| 16 | Lake Charles Memorial Hospital Charles., LA other · outpatient | 1 | $117 | $117 | — | — | 55 | $117 – $117 |
| 17 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | — | — | 55 | $233 – $233 |
| 18 | Boone Memorial Hospital Madison, WV other · both | 1 | $100 | $88 | $28 | 32% | 54–81 | $50 – $119 |
| 19 | Mount Carmel St Ann's Lewis Center, OH professional · fee schedule · outpatient | 1 | $157 | $157 | — | — | 53 | $157 – $157 |
| 20 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 5 | $110 | $119 | $19 | 16% | 52–70 | $103 – $159 |
| 21 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 4 | $115 | $114 | $8 | 7% | 50 | $99 – $126 |
| 22 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | 41 | $370 – $370 |
| 23 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $156 | $81 | 52% | 37 | $41 – $214 |
| 24 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $193 | $193 | — | — | 31 | $193 – $193 |
| 25 | Mon Health Medical Center Morgantown, WV other · outpatient | 1 | $80 | $80 | — | — | 31 | $80 – $80 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7