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
$84
Average
$190
Median
$156
High
$1.0k
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
108 hospitals; the 90th percentile is 2.6× 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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201 hospital rates
iThe hospitals that file a Ucare 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 Rochester, MN professional · fee schedule · outpatient | 4 | $165 | $168 | $22 | 13% | 1,678 | $142 – $200 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $501 | $488 | $17 | 4% | 114–123 | $464 – $501 |
| 3 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 4 | $104 | $132 | $106 | 80% | 70–97 | $44 – $397 |
| 4 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 3 | $135 | $136 | $36 | 27% | 23 | $91 – $200 |
| 5 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 4 | $114 | $150 | $127 | 84% | 5–50 | $44 – $466 |
| 6 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 4 | $103 | $143 | $129 | 90% | 5–50 | $44 – $466 |
| 7 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 4 | $106 | $145 | $128 | 88% | 5–50 | $44 – $466 |
| 8 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 4 | $119 | $153 | $126 | 83% | 2–20 | $44 – $466 |
| 9 | Mayo Clinic Health System St, NE professional · fee schedule · outpatient | 3 | $153 | $165 | $25 | 15% | 2–20 | $142 – $200 |
| 10 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $148 | $152 | $26 | 17% | 2–20 | $121 – $200 |
| 11 | Sanford Fargo Medical Center Fargo, ND other · outpatient | 1 | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 12 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | — | — | 2–20 | $232 – $232 |
| 13 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $192 | $139 | $77 | 55% | 1–10 | $45 – $207 |
| 14 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $397 | $397 | — | — | 1–10 | $397 – $397 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $140 | $140 | $27 | 19% | 1–10 | $113 – $168 |
| 16 | Windom Area Hospital Lakefield, MN facility · other · inpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 17 | Windom Area Hospital Lakefield, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 18 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $113 | $113 | $16 | 14% | — | $96 – $129 |
| 19 | Astera Health Wadena, MN fee schedule · inpatient | 3 | $160 | $142 | $25 | 17% | — | $107 – $160 |
| 20 | Astera Health Wadena, MN fee schedule · outpatient | 3 | $140 | $125 | $21 | 16% | — | $96 – $140 |
| 21 | Astera Health Wadena, MN per diem · inpatient | 3 | $5.4k | $4.2k | $1.7k | 42% | — | $1.7k – $5.4k |
| 22 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $445 | $445 | $165 | 37% | — | $280 – $610 |
| 23 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 4 | $369 | $398 | $132 | 33% | — | $280 – $653 |
| 24 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $113 | $136 | $42 | 31% | — | $101 – $196 |
| 25 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 3 | $113 | $136 | $42 | 31% | — | $101 – $196 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7