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 Apr 17, 2026 and Apr 17, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Munson Healthcare Otsego Memorial Hospital
GAYLORD, MI Office Visit Level 4 New 99204 |
$118.15 | $139.00 | 15% | Apr 17, 2026 file |
|
| Munson Healthcare Otsego Memorial Hospital
GAYLORD, MI Office Outpatient Visit New L4 |
$192.10 | $226.00 | 15% | Apr 17, 2026 file |
|
| Munson Healthcare Otsego Memorial Hospital
GAYLORD, MI VIDEO OV Level 4 New 99204 |
$203.15 | $239.00 | 15% | Apr 17, 2026 file |
Outpatient: lowest $118.15, median $192.10, highest $203.15 — a 1.7× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $192.10. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.