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
$54
Average
$501
Median
$174
High
$10.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
200 hospitals; the 90th percentile is 3.9× 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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274 hospital rates
iThe hospitals that file a Tricare 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 | Massachusetts General Hospital Boston, MA other · both | 1 | $145 | $145 | — | — | 54 | $145 – $145 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $864 | $864 | — | — | 54 | $864 – $864 |
| 3 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $165 | $165 | — | — | 15 | $165 – $165 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 5 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $204 | $204 | — | — | 1–10 | $204 – $204 |
| 6 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 1 | $208 | $208 | — | — | 1–10 | $208 – $208 |
| 7 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 8 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $178 | $178 | — | — | 1–10 | $178 – $178 |
| 9 | Samaritan Hospital Troy, NY professional · fee schedule · inpatient | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 10 | St Peters Hospital Albany, NY professional · fee schedule · outpatient | 1 | $170 | $170 | — | — | 1–10 | $170 – $170 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $173 | $175 | $23 | 13% | — | $145 – $208 |
| 12 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 13 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $192 | $192 | $19 | 10% | — | $173 – $210 |
| 14 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 15 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 16 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 17 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 18 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $544 | $12.9k | $21.4k | 166% | — | $487 – $50k |
| 19 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 20 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · both | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 21 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $596 | $722 | $220 | 30% | — | $596 – $1.1k |
| 22 | Aspirus Keweenaw Hospital Laurium, MI fee schedule · both | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 23 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $170 | $170 | — | — | — | $170 – $170 |
| 24 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 25 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $169 | $169 | — | — | — | $169 – $169 |
← Payers reporting CPT 99205 · Snapshot 20261111T120946Z-9134e7f7