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HANK Price Transparency. (n.d.).
UNLISTED E&M SERVICE (CPT 99499) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 29, 2026 , from http://ppman.hank.ai/transparency/procedure/99499/by-state?code_type=CPT
“UNLISTED E&M SERVICE (CPT 99499) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/99499/by-state?code_type=CPT. Accessed
June 29, 2026 .
“UNLISTED E&M SERVICE (CPT 99499) by State,” HANK Price Transparency ,
accessed June 29, 2026 ,
http://ppman.hank.ai/transparency/procedure/99499/by-state?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CPT · across United States
99499 — Unlisted E&m Service
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$78
National median
$55 – $132
IQR (p25 – p75)
552
hospitals filing
46
states
Walking in without insurance?
Cash / self-pay price
Cash median
$88
vs. negotiated
+13.4%
Hospitals reporting
498
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 99499 (CPT), with interquartile range
State Median p25 p75
MD $2,099 $2,099 $2,099
CO $428 $200 $579
WY $343 $336 $435
MO $214 $140 $652
AZ $194 $194 $198
NE $172 $89 $248
MI $150 $46 $356
OK $125 $62 $300
MN $114 $57 $133
OH $106 $48 $234
CA $93 $39 $161
NH $91 $58 $112
IA $90 $64 $253
SD $90 $73 $107
ME $84 $62 $142
GA $81 $81 $81
FL $81 $43 $125
WV $75 $70 $186
TX $75 $50 $148
NY $74 $56 $196
IL $70 $37 $119
WA $70 $40 $95
PA $67 $11 $143
KY $66 $37 $112
MT $65 $52 $180
ND $61 $38 $96
AL $61 $61 $61
WI $58 $48 $68
OR $55 $39 $189
AK $54 $50 $382
LA $54 $16 $109
ID $53 $35 $104
MS $52 $37 $85
UT $47 $47 $47
KS $44 $30 $130
CT $41 $34 $181
HI $35 $33 $148
SC $35 $33 $50
NJ $34 $21 $182
MA $34 $32 $150
IN $33 $33 $72
AR $31 $31 $50
NC $21 $21 $100
NM $19 $19 $19
TN $17 $10 $44
VA $14 $14 $14