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
$43
Average
$381
Median
$169
High
$28.3k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
221 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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328 hospital rates
iThe hospitals that file a Optum 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 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $143 | $145 | $31 | 22% | 54–63 | $110 – $183 |
| 2 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $138 | — | — | 30 | $138 – $138 |
| 3 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 2 | $140 | $143 | $21 | 15% | 12 | $118 – $174 |
| 4 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $154 | $117 | $43 | 36% | 3–30 | $54 – $154 |
| 5 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $485 | $485 | $5 | 1% | 2–20 | $480 – $490 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $134 | $134 | $26 | 19% | 1–10 | $108 – $159 |
| 7 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 8 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · bothfrom % of charges | 2 | $354 | $341 | $16 | 5% | 1–10 | $322 – $354 |
| 9 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 1 | $438 | $438 | $33 | 7% | 1–10 | $405 – $471 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $143 | $143 | $31 | 22% | 1–10 | $112 – $174 |
| 11 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $492 | $492 | — | — | 1–10 | $492 – $492 |
| 12 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $168 | $168 | — | — | 1–10 | $168 – $168 |
| 13 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $90 | $90 | $25 | 28% | — | $65 – $116 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $332 | $276 | 83% | — | $15 – $606 |
| 18 | ARH Tug Valley Health Services, Inc. Paintsville, KY fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 19 | ARH Tug Valley Health Services, Inc. Paintsville, KY fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 20 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 21 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $120 | $122 | $24 | 20% | — | $91 – $158 |
| 23 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $169 | $169 | $2 | 1% | — | $168 – $171 |
| 24 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $56 | $22 | 39% | — | $31 – $84 |
| 25 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7