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 OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN
DeKalb, MS
See all hospitals reporting CPT 99204 →Price type
Kemper CAH, Inc.’s median price of $251 is 22% above the median hospital's median price ($206), higher than 62% of the 1,963 hospitals reporting CPT 99204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 13 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 | Molina all payor fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 2 | Bcbs Ms all payor fee schedule · outpatient | $125 | $125 | $3 | 2% | — | $122 – $128 |
| 3 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 4 | Optum all payor other · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 5 | UnitedHealthcare all payor other · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 6 | Cigna Healthspring all payor other · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 7 | Humana all payor other · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 8 | Ambetter all payor other · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 9 | Molina all payor other · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 10 | WellCare all payor other · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 11 | Aetna all payor other · outpatient | $269 | $269 | — | — | — | $269 – $269 |
| 12 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $269 | $269 | — | — | — | $269 – $269 |
| 13 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $311 | $311 | — | — | — | $311 – $311 |
Last updated: Apr 1, 2026
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.