SelfPayRates — hospital cash prices, from the source
Cash prices at 6 facilities across 5 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 Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| AdventHealth New Smyrna Beach
NEW SMYRNA BEACH, FL HC OFFICE OUTPATIENT NEW PT MOD LVL MDM |
$601.97 | $601.97 | — | Apr 1, 2026 file |
|
| Adventhealth Daytona Beach
DAYTONA BEACH, FL HC OFFICE OUTPATIENT NEW PT MOD LVL MDM |
$641.63 | $641.63 | — | Apr 1, 2026 file |
|
| Adventhealth Fish Memorial
ORANGE CITY, FL HC OFFICE OUTPATIENT NEW PT MOD LVL MDM |
$641.63 | $641.63 | — | Apr 1, 2026 file |
|
| AdventHealth Deland
DELAND, FL HC OFFICE OUTPATIENT NEW PT MOD LVL MDM |
$695.07 | $695.07 | — | Apr 1, 2026 file |
|
| Adventhealth Palm Coast Parkway
PALM COAST, FL HC OFFICE OUTPATIENT NEW PT MOD LVL MDM |
$737.40 | $737.40 | — | Apr 1, 2026 file |
|
| Adventhealth Palm Coast
PALM COAST, FL HC OFFICE OUTPATIENT NEW PT MOD LVL MDM |
$737.40 | $737.40 | — | Apr 1, 2026 file |
Outpatient: lowest $601.97, median $668.35, highest $737.40 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $668.35. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.