Fee-for-service rateAs of June 2026
Hawaii Medicaid rate for CPT 99204
Office visit, new patient (moderate complexity)
Med-QUEST pays $131.20 for CPT 99204 in its June 2026 fee-for-service schedule: the 22nd-lowest of 45 state Medicaid programs, at 98% of the $134.20 median.
- Non-facility rate
- $131.20
- Rank
- 24 of 45
- vs. state median
- 98%
- vs. HI Medicare
- 71%
What Med-QUEST publishes for 99204
22nd-lowest of 45 · 98% of median
22nd-lowest of 45 · 98% of median
- Schedule
- June 2026
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. Med-QUEST Fee Schedules
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in Hawaii is $185.29; Med-QUEST's rate is 71% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Hawaii's full schedule: all 11,587 codes, every published period, and commercial payer rates for 99204.
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