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Procedure price report · Consultation, evaluation, and preventative care

Care between 10 pm and 8 am at a 24-hour facility

CPT 99053the billing code this page is about

An add-on charge for a service provided overnight at a facility that operates around the clock, billed in addition to the visit itself.

Hospitals typically charge $39 cash for this outpatient procedure — the median across 106 hospitals that filed a usable cash price; the average of the middle 60% is $41. Most fall between $24 and $72 (20th–80th percentile).

Hospitals
106
States
29
Filings dated
Jan 2024 – Aug 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 106 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$14$27$39$60$138

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($14 vs $138).

How the prices are spread

$14 – $18: 12 hospitals$14$18 – $23: 4 hospitals$23 – $30: 19 hospitals$23$30 – $38: 7 hospitals$38 – $50: 27 hospitals$38$50 – $64: 10 hospitals$64 – $83: 5 hospitals$64$83 – $107: 3 hospitals$107 – $139: 7 hospitals$107$139 – $180: 6 hospitals$139median $39price bands are equal on a log scale
Hospitals per price band (100 of 106 — the bands cover the 5th to 95th percentile)
FromToHospitals
$14$1812
$18$234
$23$3019
$30$387
$38$5027
$50$6410
$64$835
$83$1073
$107$1397
$139$1806

By state

The median cash price in each state, against the national median of $39.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 6 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 4 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $28 across 17 hospitalsMI$28New York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: no hospital in the corpus filed a usable priceNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $39 across 13 hospitalsIA$39Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 1 hospital filed a usable price — fewer than 10, so no figurePANew Jersey: no hospital in the corpus filed a usable priceNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 3 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: no hospital in the corpus filed a usable priceTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 6 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $39. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Iowa IA13$390%$39 – $39
Michigan MI17$28−28%$28 – $28
New York NY7not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Illinois IL6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Texas TX6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Wisconsin WI4not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Pennsylvania PA1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $39.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care70$39$21 – $60
Children’s5fewer than 20 hospitals
Critical access31$42$28 – $89
Ownership
For-profit13fewer than 20 hospitals
Government15fewer than 20 hospitals
Non-profit78$39$27 – $64
System affiliation
Part of a system77$39$25 – $69
Independent29$43$21 – $89

Cash price vs list price

Median list price (chargemaster)$63
Median cash price$39
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

How complete is this

106 of the 3,956 hospitals with a price file in our corpus (3%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 124 hospitals that filed this code at all gave us
Usable cash price — counted106
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded8
Hospitals that filed this code124

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 14, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as MED SERV 10PM-8AM 24 HR FAC.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Care between 10 pm and 8 am at a 24-hour facility (CPT 99053) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99053-care-between-10-pm-and-8-am-at-a-24-hour-facility