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Procedure price report · Consultation, evaluation, and preventative care

Group health education class led by a clinician

CPT 99078the billing code this page is about

Covers health education or counseling given by a clinician to several patients at once in a group setting, such as a diabetes or prenatal class.

Hospitals typically charge $56 cash for this outpatient procedure — the median across 293 hospitals that filed a usable cash price; the average of the middle 60% is $67. Most fall between $27 and $137 (20th–80th percentile).

Hospitals
293
States
40
Filings dated
Sep 2024 – Sep 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 293 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
$19$28$56$115$175

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($19 vs $175).

How the prices are spread

$12 – $16: 10 hospitals$12$16 – $22: 17 hospitals$22 – $31: 41 hospitals$22$31 – $42: 19 hospitals$42 – $58: 48 hospitals$42$58 – $79: 37 hospitals$79 – $108: 25 hospitals$79$108 – $149: 39 hospitals$149 – $204: 21 hospitals$149$204 – $279: 9 hospitals$204median $56price bands are equal on a log scale
Hospitals per price band (266 of 293 — the bands cover the 5th to 95th percentile)
FromToHospitals
$12$1610
$16$2217
$22$3141
$31$4219
$42$5848
$58$7937
$79$10825
$108$14939
$149$20421
$204$2799

By state

The median cash price in each state, against the national median of $56.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $24 across 12 hospitalsMN$24Illinois: median $78 across 17 hospitalsIL$78Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $37 across 10 hospitalsMI$37New York: median $174 across 11 hospitalsNY$174Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $115 across 13 hospitalsIA$115Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $51 across 15 hospitalsOH$51Pennsylvania: 5 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 4 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $29 across 54 hospitalsCA$29Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $91 across 15 hospitalsNC$91South Carolina: no hospital in the corpus filed a usable priceSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $63 across 42 hospitalsTX$63Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $56. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY11$174+211%$38 – $196
Iowa IA13$115+106%$115 – $115
North Carolina NC15$91+63%$91 – $281
Illinois IL17$78+39%$19 – $255
Texas TX42$63+13%$50 – $68
Ohio OH15$51−8%$25 – $85
Michigan MI10$37−34%$33 – $42
California CA54$29−48%$27 – $162
Minnesota MN12$24−58%$12 – $175
Missouri MO8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Pennsylvania PA5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Jersey NJ4not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not 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 $56.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care250$57$27 – $137
Children’s9fewer than 20 hospitals
Critical access32$44$19 – $94
Ownership
For-profit30$50$19 – $117
Government43$86$29 – $124
Non-profit218$54$27 – $137
System affiliation
Part of a system241$63$27 – $137
Independent52$44$23 – $124

Cash price vs list price

Median list price (chargemaster)$105
Median cash price$56
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.

The same procedure, inpatient

223 hospitals filed a usable inpatient cash price for this code. The median is $68 and the average of the middle 60% is $69; most fall between $27 and $137.

Cash price percentiles, inpatient, across 223 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
$19$28$68$129$186

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($19 vs $186).

Of the 235 hospitals that filed this code inpatient, 223 gave a usable cash price; 3 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

293 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 336 hospitals that filed this code at all gave us
Usable cash price — counted293
Cash price carrying a plausibility flag — shown on the compare tool, excluded here11
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 — excluded32
Hospitals that filed this code336

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 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 GROUP HEALTH EDUCATION.

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, “Group health education class led by a clinician (CPT 99078) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99078-group-health-education-class-led-by-a-clinician