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 Mar 2, 2026 and Mar 2, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Banner Payson Medical Center
PAYSON, AZ VISIT NEW LEVEL 4 |
$141.07 | $285.00 | 51% | Mar 2, 2026 file |
|
| Banner Payson Medical Center
PAYSON, AZ VISIT OB TRIAGE NEW LEVEL 4 |
$2,577.54 | $2,660.00 | 3% | Mar 2, 2026 file |
Outpatient: lowest $141.07, median $1,359.31, highest $2,577.54 — a 18.3× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $1,359.31. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.