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
$156
Median
$101
High
$1.9k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
153 hospitals; the 90th percentile is 5.9× 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.
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212 hospital rates
iThe hospitals that file a Medicaid 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both | 16 | $159 | $166 | $13 | 8% | 69–78 | $159 – $191 |
| 2 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both | 2 | $193 | $193 | $34 | 18% | 37–46 | $159 – $227 |
| 3 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $139 | $139 | — | — | 36 | $139 – $139 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both | 14 | $159 | $167 | $14 | 8% | 30–48 | $159 – $191 |
| 5 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $170 | — | — | 1–10 | $170 – $170 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both | 2 | $175 | $175 | $16 | 9% | 1–10 | $159 – $191 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · both | 2 | $175 | $175 | $16 | 9% | 1–10 | $159 – $191 |
| 8 | Lowell General Hospital Lowell, MA other · both | 1 | $305 | $305 | — | — | 1–10 | $305 – $305 |
| 9 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $139 | $139 | — | — | 1–10 | $139 – $139 |
| 10 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 11 | Tufts Medical Center BOSTON, MA other · both | 1 | $565 | $565 | — | — | 1–10 | $565 – $565 |
| 12 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 13 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $84 | $84 | $15 | 18% | — | $69 – $99 |
| 14 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $84 | $84 | $15 | 18% | — | $69 – $99 |
| 15 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 18 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $204 | $204 | — | — | — | $204 – $204 |
| 19 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 1 | $154 | $150 | $13 | 9% | — | $133 – $164 |
| 20 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $513 | $387 | $179 | 46% | — | $134 – $513 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 22 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 23 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 24 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 25 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7