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 26, 2026 and Apr 3, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| UMass Memorial Medical Center
WORCESTER, MA New Pt. Labor Check 121-240 Minutes |
$206.00 | $206.00 | — | Mar 26, 2026 file |
|
| UMass Memorial Medical Center
WORCESTER, MA HC Level 4 Outpatient New Pt Visit |
$228.00 | $228.00 | — | Mar 26, 2026 file |
|
| UMass Memorial Medical Center
WORCESTER, MA HC PR Bh Level 4 Outpatient New Pt Visit |
$455.00 | $455.00 | — | Mar 26, 2026 file |
|
| UMass Memorial Health - Harrington Hospital, Inc.
SOUTHBRIDGE, MA HC Level 4 Outpatient New Pt Visit |
$564.00 | $564.00 | — | Apr 3, 2026 file |
|
| HealthAlliance - Clinton Hospital
LEOMINSTER, MA New Pt. Labor Check 121-240 Minutes |
$709.00 | $709.00 | — | Mar 26, 2026 file |
|
| HealthAlliance - Clinton Hospital
LEOMINSTER, MA HC Level 4 Outpatient New Pt Visit |
$773.00 | $773.00 | — | Mar 26, 2026 file |
Outpatient: lowest $206.00, median $509.50, highest $773.00 — a 3.8× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $509.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.