99205 (OTHER) by state — Price Transparency

OTHER · across United States

99205 — Office Outpatient New / Office Visit Level 5 New 60 Mins 99205 / Office Visit Level 5 New 99205 / Office Or Other Outpatient Visit For The Evaluation And Mana / Office Or Other Outpatient Visit For Th

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$246 National median

$151 – $425 IQR (p25 – p75)

71 hospitals filing

26 states

View hospital-by-hospital → Raw rate rows →

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What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $272.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 99205 (OTHER), with interquartile range
State	Median	p25	p75
WA	$66	$64	$214
MO	$87	$87	$87
AR	$105	$58	$393
OH	$142	$74	$142
WV	$154	$154	$167
KS	$170	$170	$170
NY	$170	$170	$195
ND	$171	$140	$423
NE	$192	$158	$511
IL	$194	$175	$222
MS	$196	$156	$290
MI	$197	$172	$211
GA	$199	$199	$199
MN	$202	$171	$271
TN	$206	$169	$235
AL	$208	$151	$215
PA	$208	$167	$253
NH	$229	$201	$294
IA	$280	$136	$392
UT	$283	$133	$609
TX	$326	$225	$590
KY	$333	$156	$510
ID	$374	$76	$414
WI	$495	$396	$548
CA	$655	$611	$655
VA	$757	$757	$757

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

WA	$66	$64	$214	$58	$263	1 ⚠ thin data	26	74
MO	$87	$87	$87	$87	$87	1 ⚠ thin data	22	27
AR	$105	$58	$393	$12	$426	2 ⚠ thin data	33	71
OH	$142	$74	$142	$43	$268	2 ⚠ thin data	34	102
WV	$154	$154	$167	$137	$171	1 ⚠ thin data	28	39
KS	$170	$170	$170	$170	$170	1 ⚠ thin data	1	1
NY	$170	$170	$195	$74	$294	2 ⚠ thin data	18	108
ND	$171	$140	$423	$99	$501	1 ⚠ thin data	4	6
NE	$192	$158	$511	$103	$981	2 ⚠ thin data	22	59
IL	$194	$175	$222	$75	$502	6	17	98
MS	$196	$156	$290	$141	$820	3	26	211
MI	$197	$172	$211	$114	$227	2 ⚠ thin data	6	22
GA	$199	$199	$199	$159	$239	1 ⚠ thin data	18	20
MN	$202	$171	$271	$57	$695	3	7	50
TN	$206	$169	$235	$91	$313	4	21	144
AL	$208	$151	$215	$151	$280	1 ⚠ thin data	20	26
PA	$208	$167	$253	$81	$423	3	28	195
NH	$229	$201	$294	$176	$430	1 ⚠ thin data	12	79
IA	$280	$136	$392	$77	$628	2 ⚠ thin data	10	15
UT	$283	$133	$609	$28	$1,577	6	25	2,406
TX	$326	$225	$590	$40	$1,458	18	32	419
KY	$333	$156	$510	$156	$510	2 ⚠ thin data	28	48
ID	$374	$76	$414	$76	$414	1 ⚠ thin data	11	42
WI	$495	$396	$548	$134	$585	1 ⚠ thin data	10	24
CA	$655	$611	$655	$224	$655	3	36	101
VA	$757	$757	$757	$757	$757	1 ⚠ thin data	8	11