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Procedure price report · Consultation, evaluation, and preventative care

Short office visit for an existing patient

CPT 99212the billing code this page is about

An outpatient office or clinic visit for a patient already known to the practice, at a straightforward level of medical decision making or about 10 to 19 minutes of the clinician's time.

Hospitals typically charge $89 cash for this outpatient procedure — the median across 2,780 hospitals that filed a usable cash price; the average of the middle 60% is $94. Most fall between $42 and $182 (20th–80th percentile).

Hospitals
2,780
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 2,780 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
$29$48$89$156$285

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($29 vs $285).

How the prices are spread

$22 – $29: 157 hospitals$22$29 – $39: 202 hospitals$39 – $53: 298 hospitals$39$53 – $71: 323 hospitals$71 – $96: 371 hospitals$71$96 – $129: 424 hospitals$129 – $174: 270 hospitals$129$174 – $235: 222 hospitals$235 – $316: 137 hospitals$235$316 – $426: 99 hospitals$316median $89price bands are equal on a log scale
Hospitals per price band (2,503 of 2,780 — the bands cover the 5th to 95th percentile)
FromToHospitals
$22$29157
$29$39202
$39$53298
$53$71323
$71$96371
$96$129424
$129$174270
$174$235222
$235$316137
$316$42699

By state

The median cash price in each state, against the national median of $89.

Alaska: median $142 across 17 hospitalsAK$142Maine: median $49 across 26 hospitalsME$49Vermont: median $95 across 13 hospitalsVT$95New Hampshire: median $50 across 24 hospitalsNH$50Washington: median $96 across 61 hospitalsWA$96Idaho: median $100 across 22 hospitalsID$100Montana: median $61 across 28 hospitalsMT$61North Dakota: median $80 across 24 hospitalsND$80Minnesota: median $65 across 107 hospitalsMN$65Illinois: median $106 across 123 hospitalsIL$106Wisconsin: median $86 across 107 hospitalsWI$86Michigan: median $44 across 70 hospitalsMI$44New York: median $114 across 104 hospitalsNY$114Massachusetts: median $120 across 48 hospitalsMA$120Oregon: median $86 across 52 hospitalsOR$86Nevada: median $109 across 17 hospitalsNV$109Wyoming: median $92 across 14 hospitalsWY$92South Dakota: median $110 across 40 hospitalsSD$110Iowa: median $65 across 91 hospitalsIA$65Indiana: median $39 across 83 hospitalsIN$39Ohio: median $98 across 99 hospitalsOH$98Pennsylvania: median $104 across 100 hospitalsPA$104New Jersey: median $97 across 37 hospitalsNJ$97Connecticut: median $90 across 21 hospitalsCT$90Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $111 across 120 hospitalsCA$111Utah: median $174 across 37 hospitalsUT$174Colorado: median $102 across 42 hospitalsCO$102Nebraska: median $81 across 80 hospitalsNE$81Missouri: median $63 across 65 hospitalsMO$63Kentucky: median $57 across 49 hospitalsKY$57West Virginia: median $65 across 40 hospitalsWV$65Virginia: median $100 across 50 hospitalsVA$100Maryland: median $129 across 41 hospitalsMD$129Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $97 across 43 hospitalsAZ$97New Mexico: median $90 across 13 hospitalsNM$90Kansas: median $68 across 83 hospitalsKS$68Arkansas: median $63 across 33 hospitalsAR$63Tennessee: median $48 across 61 hospitalsTN$48North Carolina: median $115 across 58 hospitalsNC$115South Carolina: median $105 across 51 hospitalsSC$105Oklahoma: median $50 across 58 hospitalsOK$50Louisiana: median $61 across 39 hospitalsLA$61Mississippi: median $66 across 45 hospitalsMS$66Alabama: median $77 across 33 hospitalsAL$77Georgia: median $126 across 95 hospitalsGA$126Hawaii: median $200 across 17 hospitalsHI$200Texas: median $119 across 155 hospitalsTX$119Florida: median $287 across 129 hospitalsFL$287
Cash price by state, most expensive first. National median $89. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL129$287+223%$54 – $570
Hawaii HI17$200+125%$62 – $274
Utah UT37$174+95%$162 – $263
Alaska AK17$142+60%$80 – $212
Maryland MD41$129+45%$77 – $184
Georgia GA95$126+41%$41 – $173
Massachusetts MA48$120+35%$73 – $230
Texas TX155$119+33%$51 – $232
North Carolina NC58$115+29%$38 – $239
New York NY104$114+29%$44 – $225
California CA120$111+24%$51 – $231
South Dakota SD40$110+24%$56 – $148
Nevada NV17$109+23%$82 – $258
Illinois IL123$106+19%$62 – $191
South Carolina SC51$105+18%$27 – $258
Pennsylvania PA100$104+17%$41 – $189
Colorado CO42$102+14%$62 – $395
Idaho ID22$100+12%$69 – $290
Virginia VA50$100+12%$50 – $175
Ohio OH99$98+10%$52 – $134
Arizona AZ43$97+9%$52 – $176
New Jersey NJ37$97+9%$43 – $379
Washington WA61$96+8%$39 – $177
Vermont VT13$95+7%$35 – $175
Wyoming WY14$92+3%$44 – $150
Connecticut CT21$90+1%$47 – $143
New Mexico NM13$90+1%$76 – $102
Oregon OR52$86−3%$59 – $138
Wisconsin WI107$86−4%$44 – $144
Nebraska NE80$81−9%$59 – $112
North Dakota ND24$80−10%$29 – $142
Alabama AL33$77−13%$29 – $193
Kansas KS83$68−24%$38 – $100
Mississippi MS45$66−25%$42 – $118
Iowa IA91$65−27%$31 – $84
Minnesota MN107$65−27%$44 – $125
West Virginia WV40$65−27%$37 – $114
Arkansas AR33$63−29%$37 – $74
Missouri MO65$63−29%$37 – $140
Louisiana LA39$61−31%$29 – $132
Montana MT28$61−31%$46 – $115
Kentucky KY49$57−36%$39 – $170
Oklahoma OK58$50−43%$33 – $144
New Hampshire NH24$50−44%$23 – $189
Maine ME26$49−45%$33 – $108
Tennessee TN61$48−46%$22 – $190
Michigan MI70$44−50%$22 – $98
Indiana IN83$39−56%$24 – $94
Rhode Island RI9not 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 $89.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,816$100$45 – $205
Children’s60$130$73 – $232
Critical access899$68$35 – $124
Ownership
For-profit314$183$65 – $475
Government575$70$35 – $130
Non-profit1,886$90$43 – $172
System affiliation
Part of a system2,225$94$44 – $193
Independent555$74$38 – $141

Cash price vs list price

Median list price (chargemaster)$145
Median cash price$89
Cash as a share of list, median hospital67%

At the typical hospital, asking for the cash price cuts the list price by about 33%. 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

1,797 hospitals filed a usable inpatient cash price for this code. The median is $95 and the average of the middle 60% is $98; most fall between $44 and $179.

Cash price percentiles, inpatient, across 1,797 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
$33$51$95$158$274

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($33 vs $274).

Of the 1,923 hospitals that filed this code inpatient, 1,797 gave a usable cash price; 23 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 100 a list price only.

How complete is this

2,780 of the 3,956 hospitals with a price file in our corpus (70%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,996 hospitals that filed this code at all gave us
Usable cash price — counted2,780
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded4
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded162
Hospitals that filed this code2,996

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 Established Sf Mdm 10 Min.

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, “Short office visit for an existing patient (CPT 99212) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99212-short-office-visit-for-an-existing-patient