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
$5
Average
$165
Median
$133
High
$2.6k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
376 hospitals; the 90th percentile is 2.1× 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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537 hospital rates
iThe hospitals that file a WellCare 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 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 225–234 | $425 – $425 |
| 2 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $125 | $125 | — | — | 212 | $125 – $125 |
| 3 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 2 | $144 | $144 | $43 | 30% | 206–215 | $100 – $187 |
| 4 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $167 | $87 | 52% | 82 | $44 – $228 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $145 | $145 | $32 | 22% | 69 | $113 – $176 |
| 6 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $131 | $131 | $18 | 14% | 37 | $113 – $150 |
| 7 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $425 | $425 | — | — | 31–40 | $425 – $425 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $102 | $102 | $9 | 8% | 19–28 | $93 – $110 |
| 9 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $132 | $132 | — | — | 13–130 | $132 – $132 |
| 10 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 1 | $122 | $122 | — | — | 13 | $122 – $122 |
| 11 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 2 | $653 | $637 | $315 | 50% | 3–30 | $163 – $999 |
| 12 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 2 | $117 | $117 | $10 | 9% | 2–20 | $107 – $127 |
| 13 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $103 | $103 | $6 | 6% | 2–20 | $95 – $110 |
| 14 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $164 | $164 | $21 | 13% | 2–20 | $144 – $185 |
| 15 | CAPE CORAL HOSPITAL CAPE CORAL, FL professional · fee schedule · outpatient | 1 | $194 | $194 | — | — | 1–10 | $194 – $194 |
| 16 | GULF COAST MEDICAL CENTER FORT MYERS, FL professional · fee schedule · both | 1 | $194 | $194 | — | — | 1–10 | $194 – $194 |
| 17 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $117 | $110 | $8 | 8% | 1–10 | $100 – $117 |
| 18 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 2 | $110 | $110 | $20 | 18% | 1–10 | $90 – $131 |
| 19 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 2 | $97 | $97 | $22 | 23% | 1–10 | $75 – $119 |
| 20 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 21 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 2 | $130 | $130 | $37 | 28% | 1–10 | $93 – $167 |
| 22 | Parkland Health Dallas, TX professional · fee schedule · inpatient | 2 | $100 | $100 | $1 | 1% | 1–10 | $99 – $102 |
| 23 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $314 | $314 | — | — | 1–10 | $314 – $314 |
| 24 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 2 | $146 | $146 | $39 | 27% | 1–10 | $108 – $185 |
| 25 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 2 | $107 | $107 | $8 | 7% | 1–10 | $99 – $115 |
← Payers reporting CPT 99204 · Snapshot 20261111T120946Z-9134e7f7