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Procedure price report

Office visit for a new patient, brief (level 1)

CPT 99201the billing code this page is about

The shortest and simplest outpatient visit for a patient new to the practice; this level was retired from use in 2021.

Hospitals typically charge $75 cash for this outpatient procedure — the median across 365 hospitals that filed a usable cash price; the average of the middle 60% is $79. Most fall between $38 and $141 (20th–80th percentile).

Hospitals
365
States
44
Filings dated
Aug 2022 – 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 365 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
$31$44$75$119$258

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($31 vs $258).

How the prices are spread

$20 – $27: 7 hospitals$20$27 – $36: 44 hospitals$36 – $48: 34 hospitals$36$48 – $63: 48 hospitals$63 – $84: 58 hospitals$63$84 – $112: 36 hospitals$112 – $149: 51 hospitals$112$149 – $198: 16 hospitals$198 – $263: 18 hospitals$198$263 – $350: 17 hospitals$263median $75price bands are equal on a log scale
Hospitals per price band (329 of 365 — the bands cover the 5th to 95th percentile)
FromToHospitals
$20$277
$27$3644
$36$4834
$48$6348
$63$8458
$84$11236
$112$14951
$149$19816
$198$26318
$263$35017

By state

The median cash price in each state, against the national median of $75.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $101 across 23 hospitalsIL$101Wisconsin: median $117 across 15 hospitalsWI$117Michigan: median $58 across 21 hospitalsMI$58New York: median $223 across 32 hospitalsNY$223Massachusetts: median $81 across 11 hospitalsMA$81Oregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 9 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $66 across 10 hospitalsPA$66New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $140 across 13 hospitalsCA$140Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $77 across 16 hospitalsNE$77Missouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 2 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $42 across 10 hospitalsTN$42North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $36 across 14 hospitalsOK$36Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $70 across 17 hospitalsGA$70Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $87 across 29 hospitalsTX$87Florida: median $35 across 10 hospitalsFL$35
Cash price by state, most expensive first. National median $75. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY32$223+197%$54 – $999,999,999
California CA13$140+87%$76 – $298
Wisconsin WI15$117+56%$117 – $117
Illinois IL23$101+34%$36 – $209
Texas TX29$87+16%$50 – $330
Massachusetts MA11$81+8%$73 – $131
Nebraska NE16$77+3%$47 – $136
Georgia GA17$70−6%$40 – $121
Pennsylvania PA10$66−12%$43 – $115
Michigan MI21$58−22%$31 – $113
Tennessee TN10$42−43%$21 – $75
Oklahoma OK14$36−52%$36 – $57
Florida FL10$35−53%$28 – $112
Arkansas AR9not enough hospitals filed a usable price
Iowa IA9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Connecticut CT1not 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 $75.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care198$75$40 – $225
Children’s9fewer than 20 hospitals
Critical access157$69$37 – $117
Ownership
For-profit32$66$36 – $189
Government109$64$40 – $101
Non-profit223$81$40 – $175
System affiliation
Part of a system255$75$36 – $150
Independent110$72$43 – $131

Cash price vs list price

Median list price (chargemaster)$116
Median cash price$75
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

224 hospitals filed a usable inpatient cash price for this code. The median is $71 and the average of the middle 60% is $71; most fall between $36 and $131.

Cash price percentiles, inpatient, across 224 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
$31$42$71$117$223

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($31 vs $223).

Of the 243 hospitals that filed this code inpatient, 224 gave a usable cash price; 8 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

365 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 408 hospitals that filed this code at all gave us
Usable cash price — counted365
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded29
Hospitals that filed this code408

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.

Hospitals file this code under descriptions such as Other Pro.

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, “Office visit for a new patient, brief (level 1) (CPT 99201) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99201-office-visit-for-a-new-patient-brief-level-1