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 23, 2026; the hospital files themselves were last updated between — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS OFFICE OP NEW LEVEL IV |
$79.20 | $198.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS OFFICE OP NEW LEVEL IV |
$79.20 | $198.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS E&M NEW PT LEVEL 4 |
$84.80 | $212.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS E&M NEW PT LEVEL 4 |
$84.80 | $212.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS PROF E&M NEW PT - LEVEL 4 |
$103.20 | $258.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS PROF E&M NEW PT - LEVEL 4 |
$103.20 | $258.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS E&M NEW PT - LEVEL 4 |
$282.40 | $706.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS E&M NEW PT - LEVEL 4 |
$282.40 | $706.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS OFFICE/OPT VISIT NEW LEVEL 4 |
$322.40 | $806.00 | 60% | — file |
|
| Ascension Via Christi Hospital Manhattan, Inc.
MANHATTAN, KS OFFICE/OPT VISIT NEW LEVEL 4 |
$322.40 | $806.00 | 60% | — file |
Outpatient: lowest $79.20, median $103.20, highest $322.40 — a 4.1× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $103.20. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.