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 Feb 28, 2026 and Mar 2, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Page Hospital
PAGE, AZ PF VISIT NEW LVL 4/TIME 45-59M |
$193.58 | $411.00 | 53% | Mar 2, 2026 file |
|
| Flagstaff Medical Center
FLAGSTAFF, AZ New Pt Office Visit (Comprehensive) |
$198.07 | $396.14 | 50% | Feb 28, 2026 file |
|
| Flagstaff Medical Center
FLAGSTAFF, AZ New Pt. Office Visit - Level 4 |
$198.07 | $396.14 | 50% | Feb 28, 2026 file |
|
| Page Hospital
PAGE, AZ VISIT NEW LEVEL 4 |
$362.52 | $530.00 | 32% | Mar 2, 2026 file |
|
| Page Hospital
PAGE, AZ VISIT OB TRIAGE NEW LEVEL 4 |
$2,340.80 | $2,660.00 | 12% | Mar 2, 2026 file |
Outpatient: lowest $193.58, median $198.07, highest $2,340.80 — a 12.1× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $198.07. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.