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 — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Jane Phillips Nowata Hospital, Inc.
NOWATA, OK NEWVISIT 11 24HR MOB 99204 |
$126.54 | $342.00 | 63% | — file |
|
| Jane Phillips Nowata Hospital, Inc.
NOWATA, OK NEW VISIT 45-59 MIN 99204 |
$228.20 | $616.75 | 63% | — file |
|
| Jane Phillips Nowata Hospital, Inc.
NOWATA, OK NEW VISIT 45 MIN 99204 |
$228.20 | $616.75 | 63% | — file |
|
| Jane Phillips Nowata Hospital, Inc.
NOWATA, OK NEW PT 45 MIN MOD 25 12625 |
$228.20 | $616.75 | 63% | — file |
Outpatient: lowest $126.54, median $228.20, highest $228.20 — a 1.8× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $228.20. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.