Outpatient new patient office visit at Lafayette County

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

HC O/P VISIT NEW LEVEL 4

Darlington, WI

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Pricing by billing methodology

Price type

How this price compares nationally

Lafayette County’s median price of $189 is 8% below the median hospital's median price ($206), higher than 46% 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 Lafayette County

Negotiated rates from the hospital’s own file: 4 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.

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#
1	Anthem badgercare professional · fee schedule · both	$106	$106	—	—	—	$106 – $106
2	UnitedHealthcare badgercare professional · fee schedule · both	$106	$106	—	—	—	$106 – $106
3	Aetna medicare advantage professional · fee schedule · both	$142	$142	—	—	—	$142 – $142
4	Anthem medicare advantage professional · fee schedule · both	$142	$142	—	—	—	$142 – $142
5	Humana medicare advantage professional · fee schedule · both	$142	$142	—	—	—	$142 – $142
6	UnitedHealthcare medicare advantage professional · fee schedule · both	$142	$142	—	—	—	$142 – $142
7	Humana medicare advantage facility · other · inpatient	$144	$144	—	—	1–10	$144 – $144
8	Anthem badgercare facility · other · inpatient	$157	$157	—	—	108	$157 – $157
9	Anthem badgercare facility · other · outpatient	$157	$157	—	—	108	$157 – $157
10	Anthem medicare advantage facility · other · inpatient	$157	$157	—	—	11	$157 – $157
11	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	—	—	26	$172 – $172
12	Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	—	—	11	$172 – $172
13	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	—	—	1–10	$172 – $172
14	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	—	—	14	$172 – $172
15	Anthem commercial professional · fee schedule · both	$185	$185	—	—	—	$185 – $185
16	UnitedHealthcare commercial professional · fee schedule · both	$185	$185	—	—	—	$185 – $185
17	Aetna commercial professional · percent of total billed charges · bothfrom % of charges	$194	$194	—	—	—	$194 – $194
18	Humana commercial professional · fee schedule · both	$216	$216	—	—	—	$216 – $216
19	UnitedHealthcare medicare advantage facility · other · inpatient	$229	$229	—	—	14	$229 – $229
20	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$237	$237	—	—	—	$237 – $237
21	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$237	$237	—	—	—	$237 – $237
22	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$237	$237	—	—	—	$237 – $237
23	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$296	$296	—	—	—	$296 – $296
24	Aetna medicare advantage facility · other · inpatient	$307	$307	—	—	26	$307 – $307
25	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$347	$347	—	—	1–10	$347 – $347

Page 1 of 2 · 26 rates

Last updated: Feb 4, 2026

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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.