SelfPayRates — hospital cash prices, from the source
Cash prices at 3 facilities 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 Apr 30, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Banner University Medical Center Tucson
TUCSON, AZ VISIT NEW LEVEL 4 |
$63.60 | $300.00 | 79% | Mar 2, 2026 file |
|
| Banner University Med Center South
TUCSON, AZ VISIT NEW LEVEL 4 |
$101.10 | $300.00 | 66% | Mar 2, 2026 file |
|
| Tucson Medical Center
TUCSON, AZ HC Tia New Pt Clinic Visit Level 4 |
$103.60 | $370.00 | 72% | Apr 30, 2026 file |
|
| Tucson Medical Center
TUCSON, AZ HC New Pt Clinic Visit Level 4 |
$103.60 | $370.00 | 72% | Apr 30, 2026 file |
|
| Tucson Medical Center
TUCSON, AZ HC Tia New Pt Clinic Visit Level 4 |
$103.60 | $370.00 | 72% | Apr 30, 2026 file |
|
| Tucson Medical Center
TUCSON, AZ HC New Pt Clinic Visit Level 4 |
$103.60 | $370.00 | 72% | Apr 30, 2026 file |
|
| Tucson Medical Center
TUCSON, AZ HC New Pt Clinic Visit High Level |
$108.92 | $389.00 | 72% | Apr 30, 2026 file |
|
| Tucson Medical Center
TUCSON, AZ HC New Pt Clinic Visit High Level |
$108.92 | $389.00 | 72% | Apr 30, 2026 file |
|
| Banner University Medical Center Tucson
TUCSON, AZ VISIT OB TRIAGE NEW LEVEL 4 |
$1,885.94 | $2,660.00 | 29% | Mar 2, 2026 file |
Outpatient: lowest $63.60, median $103.60, highest $1,885.94 — a 29.7× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $103.60. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.