SelfPayRates — hospital cash prices, from the source
Cash prices at 2 facilities across 2 cities for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Potomac Valley Hospital of WV, Inc.
KEYSER, WV OFFICE O/P NEW MOD 45 MIN |
$134.50 | $269.00 | 50% | — file |
|
| UPMC Western Maryland
CUMBERLAND, MD LEVEL 4 NEW PT (46-90 MIN) |
$146.40 | $244.00 | 40% | — file |
|
| UPMC Western Maryland
CUMBERLAND, MD NEW PAT LEV-4 (46-90 MIN) |
$146.40 | $244.00 | 40% | — file |
Outpatient: lowest $134.50, median $146.40, highest $146.40 — a 1.1× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $146.40. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.