Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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CPT · across United States

99245 — Hc Office Consult Level 5

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

$312 National median
$174 – $564 IQR (p25 – p75)
1,557 hospitals filing
54 states
View hospital-by-hospital → Raw rate rows →
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 99245 (CPT), with interquartile range
StateMedianp25p75
AR$134$109$207
WV$136$136$136
NJ$160$134$203
SC$174$128$354
TN$181$96$337
MS$182$118$312
OH$182$125$332
DC$187$141$225
KY$193$135$321
MO$203$145$411
MI$204$121$308
RI$205$161$208
AL$209$120$438
IN$214$176$303
OR$219$153$494
ID$223$191$399
ME$225$142$396
NC$234$202$281
OK$237$130$323
CA$239$154$405
PR$241$50$241
HI$242$161$275
VA$251$188$1,059
NY$257$185$476
NH$262$157$448
KS$264$237$416
AZ$285$138$396
NV$293$106$1,121
ND$294$205$393
GA$303$195$645
SD$306$204$400
CO$318$206$386
IA$323$229$462
VT$339$243$563
CT$344$277$732
PA$349$213$590
NM$353$218$599
LA$358$200$546
UT$371$290$465
MN$375$368$918
WA$382$214$497
IL$400$232$485
MT$400$312$759
NE$438$274$462
FL$447$192$901
TX$452$235$713
VI$506$264$797
WY$515$292$654
AS$517$517$517
GU$555$555$555
AK$817$666$865
WI$826$340$835
MA$870$254$1,541
MD$952$247$1,106
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
         
AR $134 $109 $207 $5 $716 15 134 1,120
WV $136 $136 $136 $45 $760 12 46 195
NJ $160 $134 $203 $3 $4,650 47 224 4,048
SC $174 $128 $354 <$1 $5,534 18 77 1,032
TN $181 $96 $337 $40 $741 43 66 1,261
MS $182 $118 $312 $12 $651 24 186 506
OH $182 $125 $332 $21 $4,513 34 127 1,165
DC $187 $141 $225 $79 $347 2 ⚠ thin data 9 25
KY $193 $135 $321 $24 $1,055 26 56 384
MO $203 $145 $411 $5 $2,542 39 254 3,197
MI $204 $121 $308 <$1 $24,196 62 382 1,629
RI $205 $161 $208 $28 $467 3 10 23
AL $209 $120 $438 $46 $1,300 15 79 271
IN $214 $176 $303 $30 $849 38 179 2,197
OR $219 $153 $494 $35 $1,138 7 52 213
ID $223 $191 $399 $5 $718 10 32 146
ME $225 $142 $396 $13 $1,418 21 27 572
NC $234 $202 $281 $86 $1,744 27 71 430
OK $237 $130 $323 $3 $5,454 41 90 505
CA $239 $154 $405 $1 $3,322 79 557 3,409
PR $241 $50 $241 $1 $241 5 21 36
HI $242 $161 $275 $29 $357 7 24 57
VA $251 $188 $1,059 $5 $1,639 8 22 186
NY $257 $185 $476 $42 $20,943 90 276 3,526
NH $262 $157 $448 $59 $1,449 4 82 560
KS $264 $237 $416 $25 $4,549 35 114 600
AZ $285 $138 $396 $26 $1,916 23 103 496
NV $293 $106 $1,121 $34 $1,121 10 205 404
ND $294 $205 $393 $106 $1,143 11 27 110
GA $303 $195 $645 $37 $1,528 22 73 409
SD $306 $204 $400 $82 $756 8 27 75
CO $318 $206 $386 $7 $1,678 34 190 968
IA $323 $229 $462 $20 $930 35 123 751
VT $339 $243 $563 $94 $862 7 24 165
CT $344 $277 $732 $66 $1,528 14 33 162
PA $349 $213 $590 $1 $5,216 47 122 1,406
NM $353 $218 $599 $91 $1,178 12 49 182
LA $358 $200 $546 $24 $953 29 120 721
UT $371 $290 $465 $158 $645 24 33 185
MN $375 $368 $918 $39 $4,127 61 359 7,902
WA $382 $214 $497 $5 $1,666 27 101 873
IL $400 $232 $485 $5 $35,000 66 301 1,711
MT $400 $312 $759 $44 $1,693 20 216 609
NE $438 $274 $462 $70 $884 15 68 396
FL $447 $192 $901 <$1 $4,618 100 570 2,397
TX $452 $235 $713 <$1 $8,957 171 321 3,662
VI $506 $264 $797 $214 $983 1 ⚠ thin data 6 18
WY $515 $292 $654 $12 $820 14 68 277
AS $517 $517 $517 $517 $517 1 ⚠ thin data 1 3
GU $555 $555 $555 $555 $555 1 ⚠ thin data 4 4
AK $817 $666 $865 $72 $3,499 11 36 91
WI $826 $340 $835 $1 $2,313 49 352 3,200
MA $870 $254 $1,541 $29 $50,000 24 92 720
MD $952 $247 $1,106 $109 $1,382 4 20 41