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
VISIT OB TRIAGE NEW LEVEL 4
Page, AZ
See all hospitals reporting CPT 99204 →Price type
Page Hospital’s median price of $355 is 72% above the median hospital's median price ($206), higher than 79% 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, 24 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 | Humana medicare advantage facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 2 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $342 | $342 | $43 | 13% | — | $298 – $385 |
| 3 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $180 | $407 | $350 | 86% | — | $139 – $902 |
| 4 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $427 | $427 | $54 | 13% | — | $373 – $481 |
| 5 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $281 | $636 | $548 | 86% | — | $218 – $1.4k |
| 6 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $281 | $636 | $548 | 86% | — | $218 – $1.4k |
| 7 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $281 | $636 | $548 | 86% | — | $218 – $1.4k |
| 8 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $281 | $636 | $548 | 86% | — | $218 – $1.4k |
| 9 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $309 | $700 | $602 | 86% | — | $240 – $1.6k |
| 10 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $314 | $710 | $612 | 86% | — | $243 – $1.6k |
| 11 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $335 | $758 | $652 | 86% | — | $259 – $1.7k |
| 12 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $766 | $766 | $561 | 73% | — | $205 – $1.3k |
| 13 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $351 | $795 | $685 | 86% | — | $272 – $1.8k |
| 14 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $845 | $845 | $564 | 67% | — | $281 – $1.4k |
| 15 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $382 | $865 | $745 | 86% | — | $296 – $1.9k |
| 16 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $877 | $877 | $586 | 67% | — | $292 – $1.5k |
| 17 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $418 | $947 | $815 | 86% | — | $324 – $2.1k |
| 18 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $418 | $947 | $815 | 86% | — | $324 – $2.1k |
| 19 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $418 | $947 | $815 | 86% | — | $324 – $2.1k |
| 20 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $463 | $1.0k | $904 | 86% | — | $359 – $2.3k |
| 21 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $472 | $1.1k | $921 | 86% | — | $366 – $2.4k |
| 22 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $472 | $1.1k | $921 | 86% | — | $366 – $2.4k |
| 23 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $488 | $1.1k | $952 | 86% | — | $379 – $2.4k |
| 24 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $488 | $1.1k | $952 | 86% | — | $379 – $2.4k |
Last updated: Mar 2, 2026
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