Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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OTHER · across United States

99204 — Office Outpatient New / Office Visit Level 4 New 99204 / Office Or Other Outpatient Visit For The Evaluation And Mana / Office Or Other Outpatient Visit For The Evaluation And Management Of A New Pati

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$184 National median
$118 – $334 IQR (p25 – p75)
81 hospitals filing
27 states
View hospital-by-hospital → Raw rate rows →
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 99204 (OTHER), with interquartile range
StateMedianp25p75
VA$561$561$561
CA$510$476$510
WI$385$349$414
ID$281$71$311
KY$264$114$415
TX$248$187$426
UT$243$137$508
IA$192$93$265
NE$188$116$444
KS$184$184$184
NH$172$156$228
MI$160$84$175
MS$159$125$181
AL$158$124$181
PA$158$120$185
TN$156$126$180
OK$155$151$171
MN$153$139$233
IL$147$129$201
GA$145$145$145
ND$139$129$323
NY$125$125$144
OH$115$105$152
WV$113$113$122
AR$110$77$279
MO$87$87$87
WA$53$51$170
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State Median p25 p75 Min Max Hospitals Payers Rates
         
VA $561 $561 $561 $561 $561 1 ⚠ thin data 8 11
CA $510 $476 $510 $213 $510 3 36 101
WI $385 $349 $414 $106 $447 1 ⚠ thin data 10 31
ID $281 $71 $311 $71 $311 1 ⚠ thin data 11 42
KY $264 $114 $415 $114 $415 2 ⚠ thin data 28 48
TX $248 $187 $426 $40 $1,151 18 32 392
UT $243 $137 $508 $26 $1,301 6 25 2,671
IA $192 $93 $265 $67 $505 2 ⚠ thin data 10 22
NE $188 $116 $444 $103 $746 2 ⚠ thin data 21 60
KS $184 $184 $184 $38 $184 2 ⚠ thin data 16 18
NH $172 $156 $228 $72 $339 2 ⚠ thin data 13 80
MI $160 $84 $175 $62 $203 5 17 75
MS $159 $125 $181 $100 $820 5 34 723
AL $158 $124 $181 $96 $247 2 ⚠ thin data 34 175
PA $158 $120 $185 $66 $337 4 30 270
TN $156 $126 $180 $81 $242 4 21 144
OK $155 $151 $171 $148 $208 1 ⚠ thin data 4 4
MN $153 $139 $233 $45 $561 3 7 52
IL $147 $129 $201 $75 $365 6 17 98
GA $145 $145 $145 $116 $174 1 ⚠ thin data 18 20
ND $139 $129 $323 $91 $383 1 ⚠ thin data 4 6
NY $125 $125 $144 $57 $233 2 ⚠ thin data 18 107
OH $115 $105 $152 $39 $601 2 ⚠ thin data 34 166
WV $113 $113 $122 $101 $125 1 ⚠ thin data 28 39
AR $110 $77 $279 $20 $426 2 ⚠ thin data 34 92
MO $87 $87 $87 $87 $87 1 ⚠ thin data 1 1
WA $53 $51 $170 $46 $209 1 ⚠ thin data 26 74