SelfPayRates — hospital cash prices, from the source
Cash prices at 2 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 31, 2026 and May 13, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| UConn Health, Waterbury Hospital
WATERBURY, CT ACC E&M New Patient Level 4 |
$133.54 | $267.07 | 50% | May 13, 2026 file |
|
| UConn Health, Waterbury Hospital
WATERBURY, CT ACC E&M New Pt. Level 4 |
$133.54 | $267.07 | 50% | May 13, 2026 file |
|
| UConn Health, Waterbury Hospital
WATERBURY, CT Visit Level IV |
$133.54 | $267.07 | 50% | May 13, 2026 file |
|
| UConn Health, Waterbury Hospital
WATERBURY, CT Level 4 |
$357.82 | $715.64 | 50% | May 13, 2026 file |
|
| UConn Health, Waterbury Hospital
WATERBURY, CT BCE ONLY-CHRG - CHF New Patient-Level 4 |
$357.82 | $715.64 | 50% | May 13, 2026 file |
|
| Saint Marys Hospital
WATERBURY, CT PR Visit Office Outpatient New Moderate Level |
$436.00 | $436.00 | — | Mar 31, 2026 file |
|
| Saint Marys Hospital
WATERBURY, CT PR Visit Office Outpatient New Moderate Level |
$436.00 | $436.00 | — | Mar 31, 2026 file |
Outpatient: lowest $133.54, median $357.82, highest $436.00 — a 3.3× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $357.82. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.