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 5
Low
$0
Average
$363
Median
$258
High
$3.7k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
201 hospitals; the 90th percentile is 3.1× 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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274 hospital rates
iThe hospitals that file a Ambetter 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 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $264 | $264 | — | — | 24 | $264 – $264 |
| 2 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $562 | $485 | $188 | 39% | 13 | $80 – $657 |
| 3 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 1 | $237 | $237 | — | — | 11 | $237 – $237 |
| 4 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $166 | $98 | 59% | 5–50 | $20 – $325 |
| 5 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | $67 | 35% | 2–20 | $124 – $259 |
| 6 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | 1–10 | $224 – $224 |
| 7 | Nazareth Hospital Philadelphia, PA professional · fee schedule · outpatient | 1 | $237 | $237 | — | — | 1–10 | $237 – $237 |
| 8 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · outpatient | 1 | $223 | $223 | — | — | 1–10 | $223 – $223 |
| 9 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ other · outpatient | 1 | $468 | $468 | — | — | 1–10 | $468 – $468 |
| 10 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 11 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 12 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $264 | $264 | $26 | 10% | — | $237 – $290 |
| 13 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 14 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 16 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 17 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 18 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 19 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $237 | $237 | $101 | 43% | — | $94 – $381 |
| 20 | Betsy Johnson Hospital Dunn, NC facility · other · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 21 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 22 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 23 | Callaway District Hospital Callaway, NE percent of total billed charges · outpatientfrom % of charges | 1 | $540 | $540 | — | — | — | $540 – $540 |
| 24 | Cape Fear Valley - Hoke Hospital Raeford, NC facility · other · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 25 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
← Payers reporting CPT 99205 · Snapshot 20261111T120946Z-9134e7f7