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Procedure price report · Consultation, evaluation, and preventative care

Genital and anal exam of a child with photo documentation

CPT 99170the billing code this page is about

A detailed examination of a child's genital and anal area with magnified images recorded, typically done when abuse is suspected.

Hospitals typically charge $238 cash for this outpatient procedure — the median across 440 hospitals that filed a usable cash price; the average of the middle 60% is $251. Most fall between $98 and $427 (20th–80th percentile).

Hospitals
440
States
47
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 440 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
$72$116$238$386$573

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($72 vs $573).

How the prices are spread

$46 – $60: 12 hospitals$46$60 – $78: 19 hospitals$78 – $102: 42 hospitals$78$102 – $132: 38 hospitals$132 – $172: 31 hospitals$132$172 – $224: 41 hospitals$224 – $292: 64 hospitals$224$292 – $380: 59 hospitals$380 – $495: 54 hospitals$380$495 – $644: 40 hospitals$495median $238price bands are equal on a log scale
Hospitals per price band (400 of 440 — the bands cover the 5th to 95th percentile)
FromToHospitals
$46$6012
$60$7819
$78$10242
$102$13238
$132$17231
$172$22441
$224$29264
$292$38059
$380$49554
$495$64440

Against Medicare

Medicare pays (OPPS 2026, national rate)$207
Median cash price$238
Cash as a multiple of Medicare1.15×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $238.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $384 across 18 hospitalsWA$384Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $207 across 11 hospitalsMN$207Illinois: median $154 across 11 hospitalsIL$154Wisconsin: median $226 across 12 hospitalsWI$226Michigan: median $278 across 20 hospitalsMI$278New York: median $238 across 35 hospitalsNY$238Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $401 across 23 hospitalsOR$401Nevada: 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: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $346 across 17 hospitalsIA$346Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $309 across 12 hospitalsOH$309Pennsylvania: median $57 across 14 hospitalsPA$57New Jersey: median $223 across 10 hospitalsNJ$223Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $427 across 54 hospitalsCA$427Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $83 across 17 hospitalsOK$83Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $107 across 13 hospitalsGA$107Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $90 across 79 hospitalsTX$90Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $238. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA54$427+80%$313 – $644
Oregon OR23$401+68%$250 – $505
Washington WA18$384+61%$311 – $431
Iowa IA17$346+45%$214 – $359
Ohio OH12$309+30%$215 – $396
Michigan MI20$278+17%$139 – $384
New York NY35$2380%$125 – $369
Wisconsin WI12$226−5%$226 – $226
New Jersey NJ10$223−6%$220 – $237
Minnesota MN11$207−13%$202 – $207
Illinois IL11$154−35%$149 – $287
Georgia GA13$107−55%$107 – $272
Texas TX79$90−62%$73 – $175
Oklahoma OK17$83−65%$72 – $157
Pennsylvania PA14$57−76%$52 – $361
Nebraska NE8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Missouri MO1not 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
Virginia VA1not 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 $238.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care350$235$90 – $427
Children’s25$236$113 – $415
Critical access65$264$109 – $377
Ownership
For-profit30$129$90 – $416
Government57$238$107 – $384
Non-profit353$238$101 – $427
System affiliation
Part of a system380$226$90 – $427
Independent60$270$145 – $458

Cash price vs list price

Median list price (chargemaster)$400
Median cash price$238
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

337 hospitals filed a usable inpatient cash price for this code. The median is $250 and the average of the middle 60% is $264; most fall between $100 and $431.

Cash price percentiles, inpatient, across 337 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
$85$116$250$416$644

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($85 vs $644).

Of the 356 hospitals that filed this code inpatient, 337 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

440 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 459 hospitals that filed this code at all gave us
Usable cash price — counted440
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 — excluded5
Hospitals that filed this code459

Sections not shown for this setting

  • 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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 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 Anogenital Xm Magnify Child/Suspect Trauma W Img.

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, “Genital and anal exam of a child with photo documentation (CPT 99170) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99170-genital-and-anal-exam-of-a-child-with-photo-documentation