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Procedure price report · Consultation, evaluation, and preventative care

Office visit for a new patient, low complexity (level 3)

CPT 99203the billing code this page is about

An outpatient or office visit for a patient new to the practice involving a problem of low complexity, typically 30 to 44 minutes of the clinician's time.

Hospitals typically charge $153 cash for this outpatient procedure — the median across 2,597 hospitals that filed a usable cash price; the average of the middle 60% is $160. Most fall between $83 and $276 (20th–80th percentile).

Hospitals
2,597
States
50
Filings dated
Aug 2022 – 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 2,597 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
$58$94$153$245$415

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($58 vs $415).

How the prices are spread

$40 – $53: 95 hospitals$40$53 – $70: 166 hospitals$70 – $92: 235 hospitals$70$92 – $122: 383 hospitals$122 – $161: 347 hospitals$122$161 – $213: 437 hospitals$213 – $281: 300 hospitals$213$281 – $372: 188 hospitals$372 – $491: 121 hospitals$372$491 – $649: 68 hospitals$491median $153price bands are equal on a log scale
Hospitals per price band (2,340 of 2,597 — the bands cover the 5th to 95th percentile)
FromToHospitals
$40$5395
$53$70166
$70$92235
$92$122383
$122$161347
$161$213437
$213$281300
$281$372188
$372$491121
$491$64968

By state

The median cash price in each state, against the national median of $153.

Alaska: median $266 across 16 hospitalsAK$266Maine: median $82 across 25 hospitalsME$82Vermont: median $138 across 13 hospitalsVT$138New Hampshire: median $108 across 23 hospitalsNH$108Washington: median $180 across 52 hospitalsWA$180Idaho: median $164 across 16 hospitalsID$164Montana: median $136 across 24 hospitalsMT$136North Dakota: median $253 across 24 hospitalsND$253Minnesota: median $117 across 91 hospitalsMN$117Illinois: median $173 across 116 hospitalsIL$173Wisconsin: median $174 across 87 hospitalsWI$174Michigan: median $110 across 71 hospitalsMI$110New York: median $193 across 103 hospitalsNY$193Massachusetts: median $207 across 48 hospitalsMA$207Oregon: median $188 across 49 hospitalsOR$188Nevada: median $195 across 18 hospitalsNV$195Wyoming: median $187 across 13 hospitalsWY$187South Dakota: median $182 across 32 hospitalsSD$182Iowa: median $151 across 91 hospitalsIA$151Indiana: median $74 across 70 hospitalsIN$74Ohio: median $120 across 77 hospitalsOH$120Pennsylvania: median $172 across 96 hospitalsPA$172New Jersey: median $120 across 35 hospitalsNJ$120Connecticut: median $198 across 21 hospitalsCT$198Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $188 across 108 hospitalsCA$188Utah: median $251 across 36 hospitalsUT$251Colorado: median $200 across 45 hospitalsCO$200Nebraska: median $176 across 76 hospitalsNE$176Missouri: median $125 across 62 hospitalsMO$125Kentucky: median $125 across 49 hospitalsKY$125West Virginia: median $87 across 37 hospitalsWV$87Virginia: median $191 across 53 hospitalsVA$191Maryland: median $181 across 38 hospitalsMD$181Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $187 across 42 hospitalsAZ$187New Mexico: median $160 across 12 hospitalsNM$160Kansas: median $115 across 82 hospitalsKS$115Arkansas: median $100 across 28 hospitalsAR$100Tennessee: median $85 across 58 hospitalsTN$85North Carolina: median $149 across 56 hospitalsNC$149South Carolina: median $136 across 50 hospitalsSC$136Oklahoma: median $87 across 55 hospitalsOK$87Louisiana: median $81 across 40 hospitalsLA$81Mississippi: median $94 across 42 hospitalsMS$94Alabama: median $164 across 31 hospitalsAL$164Georgia: median $157 across 82 hospitalsGA$157Hawaii: median $130 across 14 hospitalsHI$130Texas: median $204 across 152 hospitalsTX$204Florida: median $371 across 124 hospitalsFL$371
Cash price by state, most expensive first. National median $153. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL124$371+142%$113 – $831
Alaska AK16$266+74%$174 – $374
North Dakota ND24$253+65%$105 – $307
Utah UT36$251+64%$150 – $363
Massachusetts MA48$207+35%$107 – $361
Texas TX152$204+33%$94 – $423
Colorado CO45$200+30%$100 – $471
Connecticut CT21$198+29%$160 – $205
Nevada NV18$195+27%$114 – $503
New York NY103$193+26%$83 – $368
Virginia VA53$191+25%$109 – $309
California CA108$188+23%$100 – $337
Oregon OR49$188+23%$94 – $245
Wyoming WY13$187+22%$85 – $200
Arizona AZ42$187+22%$103 – $332
South Dakota SD32$182+19%$116 – $256
Maryland MD38$181+19%$120 – $253
Washington WA52$180+18%$105 – $237
Nebraska NE76$176+15%$106 – $216
Wisconsin WI87$174+14%$101 – $219
Illinois IL116$173+13%$107 – $319
Pennsylvania PA96$172+12%$93 – $330
Alabama AL31$164+7%$83 – $350
Idaho ID16$164+7%$102 – $240
New Mexico NM12$160+5%$86 – $224
Georgia GA82$157+3%$100 – $287
Iowa IA91$151−2%$82 – $190
North Carolina NC56$149−2%$89 – $295
Vermont VT13$138−10%$73 – $236
South Carolina SC50$136−11%$48 – $392
Montana MT24$136−11%$75 – $254
Hawaii HI14$130−15%$75 – $348
Missouri MO62$125−18%$70 – $176
Kentucky KY49$125−19%$66 – $231
Ohio OH77$120−22%$90 – $210
New Jersey NJ35$120−22%$97 – $380
Minnesota MN91$117−24%$78 – $195
Kansas KS82$115−25%$75 – $177
Michigan MI71$110−28%$69 – $153
New Hampshire NH23$108−29%$55 – $416
Arkansas AR28$100−35%$64 – $152
Mississippi MS42$94−39%$62 – $137
Oklahoma OK55$87−43%$37 – $187
West Virginia WV37$87−43%$63 – $181
Tennessee TN58$85−44%$39 – $314
Maine ME25$82−47%$37 – $191
Louisiana LA40$81−47%$40 – $149
Indiana IN70$74−52%$49 – $191
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE6not 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 $153.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,699$164$88 – $327
Children’s56$212$115 – $339
Critical access837$135$73 – $219
Ownership
For-profit289$299$112 – $725
Government551$131$74 – $208
Non-profit1,752$152$83 – $258
System affiliation
Part of a system2,050$157$84 – $289
Independent547$140$80 – $240

Cash price vs list price

Median list price (chargemaster)$248
Median cash price$153
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

1,610 hospitals filed a usable inpatient cash price for this code. The median is $160 and the average of the middle 60% is $162; most fall between $88 and $264.

Cash price percentiles, inpatient, across 1,610 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
$62$95$160$240$392

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($62 vs $392).

Of the 1,729 hospitals that filed this code inpatient, 1,610 gave a usable cash price; 20 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 97 a list price only.

How complete is this

2,597 of the 3,956 hospitals with a price file in our corpus (66%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,803 hospitals that filed this code at all gave us
Usable cash price — counted2,597
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded161
Hospitals that filed this code2,803

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 July 20, 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 Office/Outpatient New Low Mdm 30 Minutes.

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, low complexity (level 3) (CPT 99203) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99203-office-visit-for-a-new-patient-low-complexity-level-3