SelfPayRates — hospital cash prices, from the source
Cash prices at 3 facilities across 3 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 31, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
PALO ALTO, CA HC Clinic Use Lvl 4 New Pt |
$95.00 | $190.00 | 50% | Mar 31, 2026 file |
|
| El Camino Hospital
MOUNTAIN VIEW, CA HC E&M, NEW PT, MODERATE, 45-59 MIN |
$170.00 | $680.00 | 75% | Apr 1, 2026 file |
|
| Stanford Health Care
STANFORD, CA Eval/Mgmt of New Patient |
$370.50 | $741.00 | 50% | Apr 1, 2026 file |
|
| Stanford Health Care
STANFORD, CA Eval/Mgmt of New Patient |
$467.50 | $935.00 | 50% | Apr 1, 2026 file |
Outpatient: lowest $95.00, median $270.25, highest $467.50 — a 4.9× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $467.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.