99251 (CPT) by state — Price Transparency

CPT · across United States

99251 — Pr Initial Inpatient Consult New/estab Pt 20 Min

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

$80 National median

$54 – $133 IQR (p25 – p75)

548 hospitals filing

45 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $73.

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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 99251 (CPT), with interquartile range
State	Median	p25	p75
NV	$389	$370	$389
WA	$368	$162	$408
AK	$227	$227	$227
IL	$180	$128	$243
AS	$175	$175	$175
AR	$166	$56	$207
GA	$165	$65	$266
MO	$147	$147	$147
TX	$140	$69	$347
MN	$138	$110	$175
CO	$136	$62	$170
NH	$129	$64	$151
CT	$121	$107	$160
WI	$119	$83	$126
KS	$112	$43	$150
NC	$105	$68	$126
VA	$104	$77	$190
NE	$101	$61	$102
SD	$98	$63	$111
IA	$97	$48	$102
AZ	$94	$44	$159
ME	$92	$53	$187
MA	$88	$64	$142
ND	$87	$86	$103
OH	$82	$60	$136
NY	$81	$49	$123
CA	$80	$42	$152
UT	$77	$61	$127
MT	$76	$76	$76
TN	$75	$55	$94
LA	$69	$44	$92
NJ	$68	$34	$77
MI	$67	$55	$78
OK	$65	$54	$99
VT	$65	$38	$67
IN	$61	$55	$96
FL	$55	$54	$57
MS	$54	$39	$59
AL	$54	$54	$70
PA	$45	$34	$49
KY	$45	$37	$71
HI	$36	$35	$38
WV	$36	$35	$36
PR	$35	$35	$35
SC	$34	$33	$35

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

NV	$389	$370	$389	$73	$389	3	101	161
WA	$368	$162	$408	$42	$408	5	35	50
AK	$227	$227	$227	$227	$227	1 ⚠ thin data	1	1
IL	$180	$128	$243	$32	$8,334	25	77	321
AS	$175	$175	$175	$175	$175	1 ⚠ thin data	1	3
AR	$166	$56	$207	$47	$207	3	18	26
GA	$165	$65	$266	$20	$8,194	12	45	221
MO	$147	$147	$147	$30	$428	6	74	191
TX	$140	$69	$347	<$1	$8,450	91	69	524
MN	$138	$110	$175	$34	$1,061	13	19	110
CO	$136	$62	$170	$44	$3,208	5	11	21
NH	$129	$64	$151	$37	$232	2 ⚠ thin data	18	53
CT	$121	$107	$160	$34	$188	3	3	17
WI	$119	$83	$126	$46	$272	11	78	293
KS	$112	$43	$150	$30	$321	9	25	47
NC	$105	$68	$126	$38	$134	5	17	20
VA	$104	$77	$190	$41	$209	2 ⚠ thin data	11	21
NE	$101	$61	$102	$23	$210	7	27	246
SD	$98	$63	$111	$59	$127	2 ⚠ thin data	14	18
IA	$97	$48	$102	$37	$239	8	40	256
AZ	$94	$44	$159	$17	$468	11	29	219
ME	$92	$53	$187	$40	$266	4	22	60
MA	$88	$64	$142	$13	$432	11	46	112
ND	$87	$86	$103	$79	$122	1 ⚠ thin data	12	18
OH	$82	$60	$136	$33	$4,513	20	68	385
NY	$81	$49	$123	$19	$2,756	33	74	446
CA	$80	$42	$152	$28	$374	20	80	165
UT	$77	$61	$127	$36	$144	14	30	122
MT	$76	$76	$76	$76	$210	2 ⚠ thin data	6	18
TN	$75	$55	$94	$20	$584	19	30	414
LA	$69	$44	$92	$15	$650	6	32	73
NJ	$68	$34	$77	$6	$146	17	9	67
MI	$67	$55	$78	$25	$478	23	191	521
OK	$65	$54	$99	$38	$5,454	10	29	56
VT	$65	$38	$67	$34	$222	2 ⚠ thin data	9	11
IN	$61	$55	$96	$25	$262	27	92	1,148
FL	$55	$54	$57	<$1	$683	64	23	299
MS	$54	$39	$59	$31	$83	5	21	24
AL	$54	$54	$70	$21	$122	6	10	41
PA	$45	$34	$49	$13	$142	17	31	180
KY	$45	$37	$71	$27	$111	10	16	79
HI	$36	$35	$38	$34	$40	3	3	3
WV	$36	$35	$36	$35	$49	2 ⚠ thin data	4	12
PR	$35	$35	$35	$35	$35	1 ⚠ thin data	0	1
SC	$34	$33	$35	$29	$63	4	38	142