SelfPayRates — hospital cash prices, from the source
Cash prices at 5 facilities across 4 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 Mar 23, 2026 and Mar 23, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Johnston Memorial Hospital
ABINGDON, VA HC NEW VISIT LEVEL 4 |
$51.00 | $340.00 | 85% | Mar 23, 2026 file |
|
| Indian Path Community Hospital
KINGSPORT, TN HC NEW VISIT LEVEL 4 |
$51.00 | $340.00 | 85% | Mar 23, 2026 file |
|
| Bristol Regional Medical Center
BRISTOL, TN HC NEW VISIT LEVEL 4 |
$51.00 | $340.00 | 85% | Mar 23, 2026 file |
|
| Holston Valley Medical Center
KINGSPORT, TN HC NEW VISIT LEVEL 4 |
$51.00 | $340.00 | 85% | Mar 23, 2026 file |
|
| Hawkins County Memorial Hospital
ROGERSVILLE, TN HC NEW VISIT LEVEL 4 |
$51.00 | $340.00 | 85% | Mar 23, 2026 file |
Outpatient: lowest $51.00, median $51.00, highest $51.00.
As an inpatient, the same code is billed by 5 facilities here, median $51.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.