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
$1
Average
$236
Median
$178
High
$3.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
494 hospitals; the 90th percentile is 4.1× 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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736 hospital rates
iThe hospitals that file a Molina 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $232 | $232 | $54 | 23% | 1,093 | $177 – $286 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 6 | $147 | $141 | $14 | 10% | 114 | $120 – $156 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 5 | $156 | $149 | $39 | 26% | 97 | $102 – $215 |
| 4 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $224 | $212 | $59 | 28% | 47–56 | $151 – $309 |
| 5 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 5 | $148 | $176 | $60 | 34% | 33 | $135 – $295 |
| 6 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 5 | $236 | $236 | $50 | 21% | 26–44 | $190 – $326 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $148 | $176 | $60 | 34% | 20–29 | $135 – $295 |
| 8 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $483 | $483 | — | — | 18–27 | $483 – $483 |
| 9 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $101 | $101 | $49 | 49% | 17 | $51 – $150 |
| 10 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $171 | $171 | — | — | 16 | $171 – $171 |
| 11 | Public Hospital District No 4 King County WA Snoqualmie, WA fee schedule · outpatient | 3 | $173 | $197 | $115 | 59% | 12 | $47 – $427 |
| 12 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $89 | $64 | 72% | 8–80 | $20 – $221 |
| 13 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $91 | $58 | 63% | 7–70 | $26 – $205 |
| 14 | Nor-Lea Hospital District Lovington, NM professional · fee schedule · outpatient | 1 | $187 | $187 | — | — | 5–50 | $187 – $187 |
| 15 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $234 | $234 | $47 | 20% | 4–40 | $187 – $281 |
| 16 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $76 | $30 | 40% | 3–30 | $41 – $114 |
| 17 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $83 | $31 | 37% | 3–30 | $50 – $125 |
| 18 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $151 | $151 | — | — | 3–30 | $151 – $151 |
| 19 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $280 | $280 | — | — | 2–20 | $280 – $280 |
| 20 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $133 | $133 | — | — | 2–20 | $133 – $133 |
| 21 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $489 | $489 | — | — | 2–20 | $489 – $489 |
| 22 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both | 1 | $123 | $123 | — | — | 2–20 | $123 – $123 |
| 23 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 2–20 | $124 – $124 |
| 24 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both | 1 | $123 | $123 | — | — | 2–20 | $123 – $123 |
| 25 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC per diem · both | 1 | $99 | $99 | — | — | 2–20 | $99 – $99 |
← Payers reporting CPT 99205 · Snapshot 20261111T120946Z-9134e7f7