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
$14
Average
$237
Median
$190
High
$1.1k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
155 hospitals; the 90th percentile is 2.9× 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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251 hospital rates
iThe hospitals that file a Highmark 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 · outpatientfrom % of charges | 1 | $562 | $562 | — | — | 330–357 | $562 – $562 |
| 2 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $1.8k | $990 | 54% | 112–130 | $440 – $2.5k |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $562 | $562 | — | — | 26–53 | $562 – $562 |
| 4 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 3 | $224 | $215 | $26 | 12% | 23–32 | $151 – $227 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 3 | $156 | $174 | $43 | 25% | 3–30 | $102 – $227 |
| 6 | Mon Health Medical Center Morgantown, WV other · outpatient | 1 | $159 | $159 | — | — | 3–30 | $159 – $159 |
| 7 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $483 | $483 | — | — | 3–30 | $483 – $483 |
| 8 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $462 | $462 | — | — | 3–30 | $462 – $462 |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $147 | $183 | $56 | 31% | 2–20 | $120 – $257 |
| 10 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $164 | $192 | $50 | 26% | 2–20 | $125 – $256 |
| 11 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · outpatient | 5 | $168 | $174 | $17 | 10% | 2–20 | $156 – $196 |
| 12 | Community Health Association Ripley, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 13 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $388 | $388 | — | — | 1–10 | $388 – $388 |
| 14 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · both | 4 | $163 | $158 | $19 | 12% | 1–10 | $118 – $191 |
| 15 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 3 | $218 | $226 | $15 | 7% | 1–10 | $203 – $245 |
| 16 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $186 | $183 | $15 | 8% | 1–10 | $161 – $197 |
| 17 | Mount Carmel St Ann's Lewis Center, OH professional · fee schedule · outpatient | 1 | $299 | $299 | — | — | 1–10 | $299 – $299 |
| 18 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $489 | $489 | — | — | 1–10 | $489 – $489 |
| 19 | STONEWALL JACKSON HOSPITAL Weston, WV other · outpatient | 1 | $190 | $190 | — | — | 1–10 | $190 – $190 |
| 20 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 3 | $148 | $224 | $106 | 47% | 1–10 | $135 – $366 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 3 | $148 | $224 | $106 | 47% | 1–10 | $135 – $366 |
| 22 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 3 | $232 | $219 | $32 | 15% | 1–10 | $142 – $236 |
| 23 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $232 | $226 | $16 | 7% | 1–10 | $190 – $236 |
| 24 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 13 | $227 | $247 | $72 | 29% | — | $170 – $409 |
← Payers reporting CPT 99205 · Snapshot 20261111T120946Z-9134e7f7