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
$107
Average
$443
Median
$394
High
$2.3k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
159 hospitals; the 90th percentile is 3.3× 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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234 hospital rates
iThe hospitals that file a Phcs 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 | 1 | $230 | $230 | — | — | 12 | $230 – $230 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $360 | $360 | — | — | 12 | $360 – $360 |
| 3 | Stanford Health Care Stanford, CA fee schedule · both | 1 | $438 | $426 | $34 | 8% | 6–60 | $330 – $438 |
| 4 | Stanford Health Care Stanford, CA fee schedule · outpatient | 1 | $438 | $411 | $47 | 11% | 2–20 | $330 – $438 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 6 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $196 | $196 | — | — | 1–10 | $196 – $196 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $231 | $231 | — | — | 1–10 | $231 – $231 |
| 8 | Mishawaka Medical Center Mishawaka, IN professional · percent of total billed charges · outpatientfrom % of charges | 1 | $329 | $329 | — | — | 1–10 | $329 – $329 |
| 9 | Mount Carmel Dublin Dublin, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | 1–10 | $285 – $285 |
| 10 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $370 | $370 | — | — | 1–10 | $370 – $370 |
| 11 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | 1–10 | $370 – $370 |
| 12 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 1 | $295 | $295 | — | — | 1–10 | $295 – $295 |
| 13 | Saint Alphonsus Medical Center - Ontario Ontario, OR professional · fee schedule · both | 1 | $295 | $295 | — | — | 1–10 | $295 – $295 |
| 14 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 1–10 | $425 – $425 |
| 15 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 1–10 | $425 – $425 |
| 16 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 1 | $255 | $255 | — | — | 1–10 | $255 – $255 |
| 17 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $492 | $492 | — | — | — | $492 – $492 |
| 18 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 19 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 1 | $501 | $501 | $41 | 8% | — | $461 – $542 |
| 20 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 1 | $501 | $501 | $41 | 8% | — | $461 – $542 |
| 21 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $492 | $492 | — | — | — | $492 – $492 |
| 22 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 23 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 1 | $501 | $501 | $41 | 8% | — | $461 – $542 |
| 24 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $501 | $501 | $41 | 8% | — | $461 – $542 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $492 | $492 | — | — | — | $492 – $492 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7