Outpatient new patient office visit at Essentia Health Duluth

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

OFFICE/OUTPT VISIT,NEW,LEVL IV

Duluth, MN

See all hospitals reporting CPT 99204 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Essentia Health Duluth’s median price of $186 is 10% below the median hospital's median price ($206), higher than 45% 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 Essentia Health Duluth

Negotiated rates from the hospital’s own file: 8 payers, 26 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.

Filter by billing methodology

Filter by billing class

#
1	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
2	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
3	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
4	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
5	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
6	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
7	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
8	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
9	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
10	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
11	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
12	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
13	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$151	$151	$8	5%	—	$144 – $159
14	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
15	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
16	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
17	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
18	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
19	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
20	Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
21	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
22	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$198	$198	—	—	—	$198 – $198
23	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$198	$198	—	—	—	$198 – $198
24	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$221	$221	—	—	—	$221 – $221
25	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	—	—	—	$221 – $221

Page 1 of 2 · 26 rates

Last updated: Jan 1, 2026

Compare to other hospitals

See Outpatient new patient office visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.