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 | |
|---|---|---|---|---|---|
| Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp
WELLSVILLE, NY PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES |
$159.81 | $268.00 | 40% | — file |
Outpatient: lowest $159.81, median $159.81, highest $159.81.
As an inpatient, the same code is billed by 1 facility here, median $159.81. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.