Outpatient new patient office visit at Rush Medical Foundation

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

PR OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN

Meridian, MS

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Pricing by billing methodology

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How this price compares nationally

Rush Medical Foundation’s median price of $186 is 10% below the median hospital's median price ($206), higher than 44% 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 Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 17 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	Humana all payor fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
3	Cigna all payor fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
4	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
5	Aetna all payor fee schedule · outpatient	$156	$156	—	—	—	$156 – $156
6	Bcbs Ms all payor fee schedule · outpatient	$165	$158	$19	12%	—	$91 – $165
7	MultiPlan all payor fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
8	Molina all payor other · outpatient	$164	$176	$36	20%	—	$133 – $249
9	Cigna Healthspring all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
10	Humana all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
11	Optum all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
12	UnitedHealthcare all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
13	WellCare all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
14	UnitedHealthcare all payor fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
15	Ambetter all payor fee schedule · outpatient	$211	$211	—	—	—	$211 – $211
16	Aetna all payor other · outpatient	$234	$234	—	—	—	$234 – $234
17	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$270	$270	—	—	—	$270 – $270

Last updated: Apr 1, 2026

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