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)

553 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
SC	$34	$33	$35
PR	$35	$35	$35
WV	$36	$35	$36
HI	$36	$35	$38
KY	$43	$37	$63
PA	$45	$34	$49
AL	$54	$54	$70
MS	$54	$39	$59
FL	$55	$54	$57
NC	$56	$38	$98
IN	$61	$55	$96
VT	$65	$38	$67
OK	$65	$54	$99
LA	$67	$42	$96
MI	$67	$55	$78
NJ	$68	$34	$77
TN	$75	$55	$94
MT	$76	$76	$76
NY	$81	$49	$123
OH	$82	$60	$136
ND	$87	$86	$103
MA	$88	$64	$142
CA	$90	$43	$131
ME	$92	$53	$187
AZ	$94	$44	$159
IA	$97	$48	$102
SD	$98	$63	$111
NE	$101	$60	$102
VA	$104	$77	$190
UT	$111	$61	$127
KS	$112	$43	$150
WI	$119	$83	$126
AR	$121	$78	$207
CT	$121	$107	$160
NH	$129	$64	$151
MN	$138	$95	$173
TX	$140	$71	$347
MO	$147	$147	$147
CO	$150	$128	$170
GA	$165	$65	$266
AS	$175	$175	$175
IL	$180	$128	$243
AK	$227	$227	$227
WA	$368	$162	$408
NV	$389	$370	$389

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	$63	5	38	143
PR	$35	$35	$35	$35	$35	1 ⚠ thin data	0	1
WV	$36	$35	$36	$35	$49	2 ⚠ thin data	4	12
HI	$36	$35	$38	$34	$40	3	3	3
KY	$43	$37	$63	$27	$111	10	16	77
PA	$45	$34	$49	$13	$142	18	35	194
AL	$54	$54	$70	$21	$122	6	10	41
MS	$54	$39	$59	$31	$83	5	21	24
FL	$55	$54	$57	<$1	$683	64	23	299
NC	$56	$38	$98	$38	$107	4	3	6
IN	$61	$55	$96	$25	$262	27	92	1,148
VT	$65	$38	$67	$34	$222	2 ⚠ thin data	9	11
OK	$65	$54	$99	$38	$5,454	10	29	56
LA	$67	$42	$96	$15	$650	7	34	98
MI	$67	$55	$78	$25	$478	23	191	521
NJ	$68	$34	$77	$6	$146	17	9	67
TN	$75	$55	$94	$20	$584	20	31	418
MT	$76	$76	$76	$76	$210	2 ⚠ thin data	6	18
NY	$81	$49	$123	$19	$2,756	33	74	446
OH	$82	$60	$136	$33	$4,513	20	68	385
ND	$87	$86	$103	$79	$122	1 ⚠ thin data	12	18
MA	$88	$64	$142	$13	$432	11	46	112
CA	$90	$43	$131	$1	$374	22	112	208
ME	$92	$53	$187	$40	$266	4	22	60
AZ	$94	$44	$159	$17	$468	11	29	219
IA	$97	$48	$102	$37	$239	8	40	256
SD	$98	$63	$111	$59	$127	2 ⚠ thin data	14	18
NE	$101	$60	$102	$23	$210	6	27	240
VA	$104	$77	$190	$41	$209	2 ⚠ thin data	11	21
UT	$111	$61	$127	$36	$144	15	31	134
KS	$112	$43	$150	$30	$321	9	25	47
WI	$119	$83	$126	$46	$272	11	78	293
AR	$121	$78	$207	$47	$207	4	19	33
CT	$121	$107	$160	$34	$188	3	3	17
NH	$129	$64	$151	$37	$232	2 ⚠ thin data	18	53
MN	$138	$95	$173	$34	$1,061	14	20	113
TX	$140	$71	$347	<$1	$8,450	90	65	502
MO	$147	$147	$147	$30	$428	6	74	191
CO	$150	$128	$170	$44	$3,208	4	8	16
GA	$165	$65	$266	$20	$8,194	12	45	221
AS	$175	$175	$175	$175	$175	1 ⚠ thin data	1	3
IL	$180	$128	$243	$32	$8,334	25	77	321
AK	$227	$227	$227	$227	$227	1 ⚠ thin data	1	1
WA	$368	$162	$408	$42	$408	5	35	50
NV	$389	$370	$389	$73	$389	3	101	161