SelfPayRates — hospital cash prices, from the source
Cash prices at 3 facilities across 3 cities for code 99205, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Canton-Potsdam Hospital
POTSDAM, NY HC OMH E_M NEW PATIENT LEVEL 5 |
$127.07 | $195.49 | 35% | Apr 1, 2026 file |
|
| Gouverneur Hospital
GOUVERNEUR, NY HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 5 |
$236.93 | $364.51 | 35% | — file |
|
| Gouverneur Hospital
GOUVERNEUR, NY HC OMH E_M NEW PATIENT LEVEL 5 |
$236.93 | $364.51 | 35% | — file |
|
| Massena Hospital Inc
MASSENA, NY HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 5 |
$238.19 | $366.44 | 35% | Apr 1, 2026 file |
|
| Massena Hospital Inc
MASSENA, NY HC OMH E_M NEW PATIENT LEVEL 5 |
$238.19 | $366.44 | 35% | Apr 1, 2026 file |
|
| Canton-Potsdam Hospital
POTSDAM, NY HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 5 |
$241.59 | $371.67 | 35% | Apr 1, 2026 file |
|
| Gouverneur Hospital
GOUVERNEUR, NY HC OFFICE_OUTPATIENT NEW HIGH MDM 60 MINUTES |
$281.87 | $433.65 | 35% | — file |
|
| Massena Hospital Inc
MASSENA, NY HC OFFICE_OUTPATIENT NEW HIGH MDM 60 MINUTES |
$283.35 | $435.93 | 35% | Apr 1, 2026 file |
|
| Canton-Potsdam Hospital
POTSDAM, NY HC OFFICE_OUTPATIENT NEW HIGH MDM 60 MINUTES |
$287.41 | $442.17 | 35% | Apr 1, 2026 file |
Outpatient: lowest $127.07, median $238.19, highest $287.41 — a 2.3× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $238.19. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.