Outpatient new patient office visit at Piedmont Mountainside

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 New Eval Visit Level 4

Jasper, GA

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Pricing by billing methodology

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How this price compares nationally

Piedmont Mountainside’s median price of $425 is 106% above the median hospital's median price ($206), higher than 85% of the 1,930 hospitals reporting CPT 99204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99204 at Piedmont Mountainside

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	Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges	$1	$1	—	—	—	$1 – $1
2	Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges	$1	$1	—	—	—	$1 – $1
3	Caresource caresource medicaid percent of total billed charges · bothfrom % of charges	$76	$76	—	—	—	$76 – $76
4	UnitedHealthcare united healthcare exchange percent of total billed charges · bothfrom % of charges	$276	$276	—	—	—	$276 – $276
5	Cigna cigna connect other · both	$285	$285	—	—	—	$285 – $285
6	Cigna cigna other · both	$399	$399	—	—	—	$399 – $399
7	UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges	$425	$425	—	—	—	$425 – $425
8	First Health first health percent of total billed charges · bothfrom % of charges	$466	$466	—	—	—	$466 – $466
9	Aetna aetna hmo/ppo percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
10	Beechstreet beechstreet percent of total billed charges · bothfrom % of charges	$532	$532	—	—	—	$532 – $532
11	Phcs phcs percent of total billed charges · bothfrom % of charges	$532	$532	—	—	—	$532 – $532
12	Kaiser kaiser percent of total billed charges · bothfrom % of charges	$565	$565	—	—	—	$565 – $565
13	MultiPlan multiplan percent of total billed charges · bothfrom % of charges	$565	$565	—	—	—	$565 – $565

Last updated: Jul 1, 2026

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