99220 (CPT) by state — Price Transparency

CPT · across United States

99220 — Initial Observation Care

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

$220 National median

$147 – $465 IQR (p25 – p75)

603 hospitals filing

47 states

View hospital-by-hospital → Raw rate rows →

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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: $236.

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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 99220 (CPT), with interquartile range
State	Median	p25	p75
SC	$34	$33	$35
PA	$50	$10	$172
AL	$83	$23	$162
MA	$105	$88	$205
HI	$118	$118	$119
NJ	$122	$102	$282
OH	$132	$75	$244
WV	$134	$133	$180
CA	$137	$101	$205
KY	$163	$100	$180
MS	$169	$156	$215
AR	$171	$90	$290
AZ	$174	$80	$396
SD	$179	$97	$521
MI	$181	$166	$216
IN	$187	$130	$211
PR	$189	$189	$189
CO	$190	$179	$220
FL	$202	$198	$210
LA	$202	$172	$326
NC	$217	$215	$843
GA	$230	$182	$335
NY	$232	$128	$560
VA	$243	$196	$281
IA	$276	$177	$484
OK	$291	$181	$480
KS	$304	$239	$333
TX	$315	$166	$661
MT	$321	$282	$392
ND	$343	$336	$408
TN	$349	$183	$511
WI	$355	$339	$433
WY	$359	$341	$891
ME	$359	$315	$527
MN	$392	$281	$741
NM	$401	$268	$482
NH	$452	$183	$512
NE	$459	$257	$484
CT	$463	$411	$605
UT	$465	$317	$549
VT	$481	$270	$511
MO	$497	$497	$497
IL	$498	$199	$671
OR	$533	$367	$609
WA	$799	$786	$883
NV	$930	$884	$930
RI	$1,378	$94	$2,929

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

SC	$34	$33	$35	$29	$537	5	45	169
PA	$50	$10	$172	$4	$1,218	9	52	167
AL	$83	$23	$162	$18	$1,150	8	14	53
MA	$105	$88	$205	$48	$3,129	15	19	90
HI	$118	$118	$119	$117	$120	2 ⚠ thin data	2	2
NJ	$122	$102	$282	$62	$288	15	4	29
OH	$132	$75	$244	$6	$7,922	19	76	785
WV	$134	$133	$180	$132	$212	2 ⚠ thin data	5	16
CA	$137	$101	$205	$1	$1,578	12	145	521
KY	$163	$100	$180	$82	$298	11	18	108
MS	$169	$156	$215	$70	$527	9	36	114
AR	$171	$90	$290	$73	$586	6	29	112
AZ	$174	$80	$396	$68	$666	11	36	207
SD	$179	$97	$521	$90	$674	2 ⚠ thin data	14	18
MI	$181	$166	$216	$69	$730	21	190	495
IN	$187	$130	$211	$26	$589	25	86	1,354
PR	$189	$189	$189	$189	$189	1 ⚠ thin data	6	7
CO	$190	$179	$220	$92	$11,819	5	16	38
FL	$202	$198	$210	<$1	$721	70	34	322
LA	$202	$172	$326	$8	$1,425	9	42	156
NC	$217	$215	$843	$134	$843	6	18	64
GA	$230	$182	$335	$36	$1,427	14	41	240
NY	$232	$128	$560	$15	$2,756	39	83	617
VA	$243	$196	$281	$187	$293	2 ⚠ thin data	2	5
IA	$276	$177	$484	$68	$568	10	56	403
OK	$291	$181	$480	$13	$5,454	12	26	125
KS	$304	$239	$333	$105	$1,635	10	11	47
TX	$315	$166	$661	<$1	$8,450	106	105	788
MT	$321	$282	$392	$96	$667	6	61	231
ND	$343	$336	$408	$202	$626	4	15	101
TN	$349	$183	$511	$1	$762	21	34	514
WI	$355	$339	$433	$170	$555	8	46	128
WY	$359	$341	$891	$191	$938	1 ⚠ thin data	20	59
ME	$359	$315	$527	$73	$800	5	18	59
MN	$392	$281	$741	$127	$5,741	17	20	92
NM	$401	$268	$482	$134	$508	1 ⚠ thin data	16	42
NH	$452	$183	$512	$64	$792	3	20	72
NE	$459	$257	$484	$98	$683	8	33	267
CT	$463	$411	$605	$101	$717	3	3	15
UT	$465	$317	$549	$136	$635	14	85	347
VT	$481	$270	$511	$115	$571	3	9	49
MO	$497	$497	$497	$47	$497	12	62	167
IL	$498	$199	$671	$31	$8,334	25	102	342
OR	$533	$367	$609	$160	$746	4	87	400
WA	$799	$786	$883	$240	$1,650	4	31	72
NV	$930	$884	$930	$267	$930	4	103	169
RI	$1,378	$94	$2,929	$69	$2,996	2 ⚠ thin data	8	60