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
$31
Average
$176
Median
$128
High
$2.6k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
196 hospitals; the 90th percentile is 2.4× 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
267 hospital rates
iThe hospitals that file a Medicare 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 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $134 | $134 | — | — | 11,691–11,718 | $134 – $134 |
| 2 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $183 | $183 | — | — | 3,190 | $183 – $183 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 2,874 | $425 – $425 |
| 4 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 1 | $115 | $115 | — | — | 1,605 | $115 – $115 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $168 | $168 | — | — | 1,488 | $168 – $168 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 1 | $164 | $164 | — | — | 1,327 | $164 – $164 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $163 | $163 | — | — | 1,311 | $163 – $163 |
| 8 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 1 | $167 | $167 | — | — | 1,265 | $167 – $167 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $143 | $143 | — | — | 821 | $143 – $143 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $108 | $108 | — | — | 763 | $108 – $108 |
| 11 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | 758 | $370 – $370 |
| 12 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 1 | $109 | $109 | — | — | 733 | $109 – $109 |
| 13 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 1 | $119 | $119 | — | — | 539 | $119 – $119 |
| 14 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 480 | $425 – $425 |
| 15 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $97 | $100 | $40 | 40% | 454–490 | $52 – $149 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $121 | $121 | — | — | 448 | $121 – $121 |
| 17 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 1 | $176 | $176 | — | — | 307 | $176 – $176 |
| 18 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $176 | $176 | — | — | 263 | $176 – $176 |
| 19 | Nazareth Hospital Philadelphia, PA professional · fee schedule · outpatient | 1 | $119 | $119 | — | — | 240 | $119 – $119 |
| 20 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $167 | $167 | — | — | 138 | $167 – $167 |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | 104 | $92 – $92 |
| 22 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $285 | $285 | — | — | 103 | $285 – $285 |
| 23 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | $6 | 6% | 86 | $95 – $107 |
| 24 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $370 | $370 | — | — | 83 | $370 – $370 |
| 25 | Mount Carmel Dublin Dublin, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 72 | $285 – $285 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7