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HCPCS 99204

Office/outpatient visit new

Reported by 91 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$86

Average

$378

Median

$219

High

$2.2k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$131$187$207$366$87
2Aiken Regional Medical CentersWashington, DC—$214$209—$92
3Northwest Texas Healthcare SystemAmarillo, TX—$317$381—$320
4Castle Medical CenterKailua, HI$29$135$164$264$69
5Northwest Medical Foundation Of TillamookTillamook, OR$96$310$294$447$79
6Ukiah Adventist HospitalUkiah, CA$66$167$186$505$101
7Adventist Health Medical Center TehachapiTehachapi, CA$69$147$160$685$67
8Sonora Community HospitalSonora, CA$69$170$196$588$112
9Glendale Adventist Medical CenterGlendale, CA$69$164$251$2.2k$290
10Twin Cities Community Hospital IncTempleton, CA$2$443$568$8.4k$462
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