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
Office/Outpatient New Moderate Mdm 45 Minutes
Utica, NY
See all hospitals reporting CPT 99204 →Price type
MVHS, Inc.’s median price of $150 is 27% below the median hospital's median price ($206), higher than 29% 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: 8 payers, 20 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 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $85 | $85 | $34 | 40% | — | $51 – $120 |
| 2 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 3 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 4 | WellCare wellcare fee schedule · inpatient | $100 | $105 | $8 | 8% | — | $100 – $117 |
| 5 | WellCare wellcare fee schedule · outpatient | $117 | $110 | $8 | 8% | 1–10 | $100 – $117 |
| 6 | Aetna aetna medicare advantage fee schedule · both | $113 | $113 | — | — | — | $113 – $113 |
| 7 | WellCare wellcare fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 8 | Humana humana military fee schedule · inpatient | $119 | $119 | — | — | — | $119 – $119 |
| 9 | Tricare humana military fee schedule · inpatient | $119 | $119 | — | — | — | $119 – $119 |
| 10 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $120 | $120 | — | — | 3–30 | $120 – $120 |
| 11 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 12 | Humana choicecare fee schedule · both | $125 | $136 | $15 | 11% | — | $125 – $158 |
| 13 | Humana humana medicare advantage fee schedule · both | $141 | $141 | $16 | 12% | 1–10 | $125 – $158 |
| 14 | Tricare humana military fee schedule · both | $150 | $145 | $12 | 8% | 4–40 | $119 – $150 |
| 15 | Humana humana military fee schedule · both | $150 | $146 | $10 | 7% | 7–70 | $119 – $150 |
| 16 | Humana humana military fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 17 | Tricare humana military fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 18 | Medicare medicare fee schedule · both | $171 | $156 | $25 | 16% | 5–50 | $113 – $171 |
| 19 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $184 | $181 | $11 | 6% | 63–198 | $146 – $184 |
| 20 | Cigna mvp hmo/ppo fee schedule · both | $222 | $215 | $19 | 9% | 40–166 | $146 – $222 |
Last updated: Aug 7, 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.