Outpatient new patient office visit at Dukes Health System LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

99204 OFFICE/OUTPATIENT VISIT NEW

Peru, IN

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Pricing by billing methodology

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How this price compares nationally

Dukes Health System LLC’s median price of $120 is 42% below the median hospital's median price ($206), higher than 14% of the 1,963 hospitals reporting CPT 99204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99204 at Dukes Health System LLC

Negotiated rates from the hospital’s own file: 10 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Tricare node tricare facility · fee schedule · outpatient	$50	$50	$3	6%	—	$46 – $53
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$53	$53	$3	6%	—	$49 – $57
3	Humana node humana mcr adv facility · fee schedule · outpatient	$53	$53	$3	6%	—	$49 – $57
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$53	$53	$3	6%	—	$49 – $57
5	Anthem anthem in hip facility · fee schedule · outpatient	$54	$54	$3	6%	—	$50 – $58
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$54	$54	$3	6%	—	$50 – $58
7	Optum node united optum va ccn facility · per diem · outpatient	$54	$54	$3	6%	—	$50 – $58
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$54	$54	$3	6%	—	$50 – $58
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$54	$54	$3	6%	—	$50 – $58
10	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$80	$81	$5	6%	—	$75 – $86
11	Anthem anthem in work comp facility · other · outpatient	$86	$86	$5	6%	—	$80 – $92
12	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$96	$97	$5	6%	—	$90 – $104
13	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$96	$97	$5	6%	—	$90 – $104
14	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$96	$97	$5	6%	—	$90 – $104
15	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$96	$97	$5	6%	—	$90 – $104
16	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	$6	6%	—	$106 – $122
17	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	$7	6%	—	$119 – $137
18	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$132	$132	$7	6%	—	$123 – $142
19	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$214	$215	$12	6%	—	$201 – $230
20	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$214	$215	$12	6%	—	$201 – $230
21	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$217	$218	$12	6%	—	$203 – $233
22	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$217	$218	$12	6%	—	$203 – $233
23	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$217	$218	$12	6%	—	$203 – $233
24	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$217	$218	$12	6%	—	$203 – $233
25	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$268	$269	$15	6%	—	$251 – $288

Last updated: Apr 1, 2026

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