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Procedure price report · Consultation, evaluation, and preventative care

Brief office visit for an existing patient (level 1)

CPT 99211the billing code this page is about

A short outpatient visit for a patient already known to the practice, such as a quick check by clinical staff, that does not require the physician to be present.

Hospitals typically charge $64 cash for this outpatient procedure — the median across 2,896 hospitals that filed a usable cash price; the average of the middle 60% is $69. Most fall between $25 and $145 (20th–80th percentile).

Hospitals
2,896
States
50
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 2,896 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
$17$31$64$120$230

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($17 vs $230).

How the prices are spread

$11 – $15: 110 hospitals$11$15 – $21: 189 hospitals$21 – $30: 249 hospitals$21$30 – $42: 312 hospitals$42 – $58: 362 hospitals$42$58 – $82: 367 hospitals$82 – $114: 404 hospitals$82$114 – $160: 259 hospitals$160 – $224: 199 hospitals$160$224 – $314: 163 hospitals$224median $64price bands are equal on a log scale
Hospitals per price band (2,614 of 2,896 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$15110
$15$21189
$21$30249
$30$42312
$42$58362
$58$82367
$82$114404
$114$160259
$160$224199
$224$314163

By state

The median cash price in each state, against the national median of $64.

Alaska: median $95 across 18 hospitalsAK$95Maine: median $42 across 27 hospitalsME$42Vermont: median $45 across 14 hospitalsVT$45New Hampshire: median $45 across 23 hospitalsNH$45Washington: median $85 across 65 hospitalsWA$85Idaho: median $50 across 21 hospitalsID$50Montana: median $53 across 31 hospitalsMT$53North Dakota: median $47 across 31 hospitalsND$47Minnesota: median $57 across 108 hospitalsMN$57Illinois: median $79 across 125 hospitalsIL$79Wisconsin: median $50 across 107 hospitalsWI$50Michigan: median $26 across 72 hospitalsMI$26New York: median $104 across 107 hospitalsNY$104Massachusetts: median $96 across 54 hospitalsMA$96Oregon: median $42 across 53 hospitalsOR$42Nevada: median $80 across 18 hospitalsNV$80Wyoming: median $50 across 14 hospitalsWY$50South Dakota: median $94 across 43 hospitalsSD$94Iowa: median $37 across 93 hospitalsIA$37Indiana: median $32 across 89 hospitalsIN$32Ohio: median $95 across 102 hospitalsOH$95Pennsylvania: median $82 across 102 hospitalsPA$82New Jersey: median $63 across 39 hospitalsNJ$63Connecticut: median $25 across 21 hospitalsCT$25Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $73 across 128 hospitalsCA$73Utah: median $190 across 38 hospitalsUT$190Colorado: median $65 across 44 hospitalsCO$65Nebraska: median $53 across 81 hospitalsNE$53Missouri: median $44 across 63 hospitalsMO$44Kentucky: median $62 across 54 hospitalsKY$62West Virginia: median $63 across 41 hospitalsWV$63Virginia: median $75 across 57 hospitalsVA$75Maryland: median $84 across 42 hospitalsMD$84Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $53 across 43 hospitalsAZ$53New Mexico: median $90 across 19 hospitalsNM$90Kansas: median $35 across 87 hospitalsKS$35Arkansas: median $37 across 29 hospitalsAR$37Tennessee: median $38 across 64 hospitalsTN$38North Carolina: median $83 across 61 hospitalsNC$83South Carolina: median $101 across 52 hospitalsSC$101Oklahoma: median $38 across 66 hospitalsOK$38Louisiana: median $49 across 42 hospitalsLA$49Mississippi: median $42 across 47 hospitalsMS$42Alabama: median $63 across 34 hospitalsAL$63Georgia: median $77 across 81 hospitalsGA$77Hawaii: median $164 across 16 hospitalsHI$164Texas: median $75 across 184 hospitalsTX$75Florida: median $166 across 130 hospitalsFL$166
Cash price by state, most expensive first. National median $64. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT38$190+198%$115 – $232
Florida FL130$166+160%$51 – $401
Hawaii HI16$164+157%$37 – $225
New York NY107$104+62%$26 – $235
South Carolina SC52$101+58%$12 – $188
Massachusetts MA54$96+51%$30 – $181
Alaska AK18$95+49%$41 – $145
Ohio OH102$95+48%$32 – $100
South Dakota SD43$94+48%$59 – $133
New Mexico NM19$90+40%$35 – $208
Washington WA65$85+33%$34 – $177
Maryland MD42$84+31%$48 – $124
North Carolina NC61$83+30%$30 – $140
Pennsylvania PA102$82+29%$25 – $166
Nevada NV18$80+26%$62 – $104
Illinois IL125$79+24%$32 – $150
Georgia GA81$77+21%$28 – $120
Texas TX184$75+18%$34 – $179
Virginia VA57$75+18%$46 – $152
California CA128$73+15%$33 – $181
Colorado CO44$65+2%$34 – $286
New Jersey NJ39$63−1%$11 – $278
Alabama AL34$63−1%$20 – $171
West Virginia WV41$63−1%$22 – $123
Kentucky KY54$62−4%$28 – $142
Minnesota MN108$57−11%$30 – $99
Nebraska NE81$53−17%$34 – $99
Arizona AZ43$53−17%$33 – $296
Montana MT31$53−17%$21 – $88
Wyoming WY14$50−21%$40 – $82
Idaho ID21$50−22%$42 – $178
Wisconsin WI107$50−22%$24 – $80
Louisiana LA42$49−23%$25 – $83
North Dakota ND31$47−26%$34 – $78
New Hampshire NH23$45−29%$17 – $106
Vermont VT14$45−30%$20 – $77
Missouri MO63$44−32%$20 – $115
Mississippi MS47$42−34%$21 – $96
Oregon OR53$42−34%$23 – $88
Maine ME27$42−34%$20 – $105
Tennessee TN64$38−40%$19 – $112
Oklahoma OK66$38−41%$17 – $122
Iowa IA93$37−42%$23 – $78
Arkansas AR29$37−42%$22 – $52
Kansas KS87$35−45%$18 – $86
Indiana IN89$32−50%$19 – $106
Michigan MI72$26−60%$10 – $91
Connecticut CT21$25−61%$16 – $134
Rhode Island RI9not enough hospitals filed a usable price
Delaware DE7not 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 $64.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,888$75$29 – $172
Children’s63$84$42 – $191
Critical access940$46$22 – $98
Ownership
For-profit345$126$43 – $296
Government587$47$24 – $107
Non-profit1,959$64$25 – $133
System affiliation
Part of a system2,312$68$28 – $156
Independent584$50$21 – $107

Cash price vs list price

Median list price (chargemaster)$114
Median cash price$64
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

1,944 hospitals filed a usable inpatient cash price for this code. The median is $71 and the average of the middle 60% is $75; most fall between $28 and $148.

Cash price percentiles, inpatient, across 1,944 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$34$71$125$221

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($19 vs $221).

Of the 2,085 hospitals that filed this code inpatient, 1,944 gave a usable cash price; 27 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 112 a list price only.

How complete is this

2,896 of the 3,956 hospitals with a price file in our corpus (73%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,127 hospitals that filed this code at all gave us
Usable cash price — counted2,896
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded176
Hospitals that filed this code3,127

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 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 Office/Outpatient Est Pt May Not Req Phys/Qhp.

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, “Brief office visit for an existing patient (level 1) (CPT 99211) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99211-brief-office-visit-for-an-existing-patient-level-1