SelfPayRates — hospital cash prices, from the source
Cash prices at 1 facility for code 99204, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| St Mary's Regional Medical Center
LEWISTON, ME HC NEW PT E/M LEVEL 4 |
$48.26 | $127.00 | 62% | — file |
|
| St Mary's Regional Medical Center
LEWISTON, ME HC NEW PT OUTPT VISIT LEVEL 4 W/ PROCEDURE |
$196.46 | $517.00 | 62% | — file |
|
| St Mary's Regional Medical Center
LEWISTON, ME HC NEW PT OUTPT VISIT LEVEL 4 |
$196.46 | $517.00 | 62% | — file |
Outpatient: lowest $48.26, median $196.46, highest $196.46 — a 4.1× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $196.46. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.