SelfPayRates — hospital cash prices, from the source
Cash prices at 13 facilities across 12 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 Jan 29, 2026 and May 7, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Regions Hospital
ST. PAUL, MN Office/Outpatient Visit New |
$55.38 | $213.00 | 74% | — file |
|
| Regions Hospital
ST. PAUL, MN Office Visit |
$55.38 | $213.00 | 74% | — file |
|
| Lakeview Hospital
STILLWATER, MN Office Visit |
$78.81 | $213.00 | 63% | — file |
|
| Westfields Hospital
NEW RICHMOND, WI Office/Outpatient Visit New |
$218.82 | $416.00 | 47% | — file |
|
| Hudson Hospital
HUDSON, WI Office Visit |
$230.51 | $511.00 | 55% | — file |
|
| Fairview Health Services
BURNSVILLE, MN PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES |
$286.73 | $674.65 | 57% | Feb 6, 2026 file |
|
| North Memorial Health Care
ROBBINSDALE, MN PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES |
$374.23 | $582.00 | 36% | — file |
|
| Fairview Health Services
EDINA, MN PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES |
$402.54 | $642.00 | 37% | Feb 6, 2026 file |
|
| Fairview Health Services
WYOMING, MN PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES |
$420.67 | $670.91 | 37% | Feb 5, 2026 file |
|
| Fairview Health Services
MINNEAPOLIS, MN PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES |
$422.40 | $673.68 | 37% | Feb 6, 2026 file |
|
| HealthEast Woodwinds Hospital
WOODBURY, MN PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES |
$422.69 | $674.15 | 37% | Feb 5, 2026 file |
|
| Fairview Health Services
PRINCETON, MN PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES |
$423.12 | $674.82 | 37% | Jan 29, 2026 file |
|
| HealthEast Woodwinds Hospital
WOODBURY, MN PR OFFICE/OUTPATIENT MODERATE MDM 45-59 MINUTES, NEW W/RESIDENT |
$423.23 | $675.00 | 37% | Feb 5, 2026 file |
|
| HealthEast St John's Hospital
MAPLEWOOD, MN PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES |
$423.23 | $675.00 | 37% | Feb 5, 2026 file |
|
| Childrens Health Care
MINNEAPOLIS, MN 99204 New Pt Office/Outpt Visit Level 4 - 45 Min |
$458.00 | $458.00 | — | May 7, 2026 file |
|
| Childrens Health Care
MINNEAPOLIS, MN 99204 Gender Health New Pt Office Visit Level 4 |
$458.00 | $458.00 | — | May 7, 2026 file |
|
| Westfields Hospital
NEW RICHMOND, WI Office Visit |
$477.08 | $907.00 | 47% | — file |
Outpatient: lowest $55.38, median $420.67, highest $477.08 — a 8.6× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $402.54. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.