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Procedure price report · Consultation, evaluation, and preventative care

Office visit for an existing patient, moderate level

CPT 99213the billing code this page is about

An office or outpatient visit for a patient already known to the practice, at a mid-level of complexity, typically involving about 20 to 29 minutes of the clinician's time on that day.

Hospitals typically charge $118 cash for this outpatient procedure — the median across 2,789 hospitals that filed a usable cash price; the average of the middle 60% is $125. Most fall between $62 and $224 (20th–80th percentile).

Hospitals
2,789
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 2,789 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
$43$70$118$194$343

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($43 vs $343).

How the prices are spread

$33 – $44: 151 hospitals$33$44 – $57: 199 hospitals$57 – $76: 286 hospitals$57$76 – $99: 333 hospitals$99 – $130: 433 hospitals$99$130 – $171: 413 hospitals$171 – $225: 282 hospitals$171$225 – $295: 196 hospitals$295 – $388: 133 hospitals$295$388 – $510: 85 hospitals$388median $118price bands are equal on a log scale
Hospitals per price band (2,511 of 2,789 — the bands cover the 5th to 95th percentile)
FromToHospitals
$33$44151
$44$57199
$57$76286
$76$99333
$99$130433
$130$171413
$171$225282
$225$295196
$295$388133
$388$51085

By state

The median cash price in each state, against the national median of $118.

Alaska: median $206 across 18 hospitalsAK$206Maine: median $64 across 26 hospitalsME$64Vermont: median $107 across 13 hospitalsVT$107New Hampshire: median $60 across 25 hospitalsNH$60Washington: median $138 across 62 hospitalsWA$138Idaho: median $164 across 22 hospitalsID$164Montana: median $88 across 26 hospitalsMT$88North Dakota: median $185 across 25 hospitalsND$185Minnesota: median $81 across 106 hospitalsMN$81Illinois: median $138 across 121 hospitalsIL$138Wisconsin: median $125 across 107 hospitalsWI$125Michigan: median $82 across 81 hospitalsMI$82New York: median $163 across 105 hospitalsNY$163Massachusetts: median $158 across 54 hospitalsMA$158Oregon: median $135 across 55 hospitalsOR$135Nevada: median $157 across 17 hospitalsNV$157Wyoming: median $135 across 14 hospitalsWY$135South Dakota: median $137 across 39 hospitalsSD$137Iowa: median $106 across 93 hospitalsIA$106Indiana: median $56 across 82 hospitalsIN$56Ohio: median $108 across 97 hospitalsOH$108Pennsylvania: median $140 across 101 hospitalsPA$140New Jersey: median $107 across 37 hospitalsNJ$107Connecticut: median $129 across 19 hospitalsCT$129Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $144 across 116 hospitalsCA$144Utah: median $285 across 36 hospitalsUT$285Colorado: median $131 across 43 hospitalsCO$131Nebraska: median $116 across 77 hospitalsNE$116Missouri: median $92 across 65 hospitalsMO$92Kentucky: median $104 across 49 hospitalsKY$104West Virginia: median $71 across 39 hospitalsWV$71Virginia: median $142 across 55 hospitalsVA$142Maryland: median $171 across 41 hospitalsMD$171Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $146 across 42 hospitalsAZ$146New Mexico: median $151 across 13 hospitalsNM$151Kansas: median $80 across 85 hospitalsKS$80Arkansas: median $93 across 32 hospitalsAR$93Tennessee: median $58 across 61 hospitalsTN$58North Carolina: median $137 across 58 hospitalsNC$137South Carolina: median $100 across 51 hospitalsSC$100Oklahoma: median $87 across 59 hospitalsOK$87Louisiana: median $72 across 37 hospitalsLA$72Mississippi: median $82 across 48 hospitalsMS$82Alabama: median $106 across 32 hospitalsAL$106Georgia: median $151 across 84 hospitalsGA$151Hawaii: median $225 across 17 hospitalsHI$225Texas: median $142 across 157 hospitalsTX$142Florida: median $301 across 132 hospitalsFL$301
Cash price by state, most expensive first. National median $118. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL132$301+155%$99 – $700
Utah UT36$285+141%$154 – $386
Hawaii HI17$225+91%$97 – $317
Alaska AK18$206+74%$133 – $328
North Dakota ND25$185+56%$84 – $229
Maryland MD41$171+45%$117 – $246
Idaho ID22$164+38%$96 – $322
New York NY105$163+38%$65 – $270
Massachusetts MA54$158+34%$117 – $314
Nevada NV17$157+33%$101 – $412
New Mexico NM13$151+28%$111 – $188
Georgia GA84$151+28%$68 – $326
Arizona AZ42$146+23%$75 – $220
California CA116$144+22%$74 – $280
Texas TX157$142+20%$91 – $257
Virginia VA55$142+20%$79 – $248
Pennsylvania PA101$140+18%$62 – $255
Washington WA62$138+16%$85 – $191
Illinois IL121$138+16%$88 – $215
North Carolina NC58$137+16%$54 – $280
South Dakota SD39$137+16%$79 – $215
Wyoming WY14$135+14%$55 – $184
Oregon OR55$135+14%$89 – $196
Colorado CO43$131+11%$79 – $447
Connecticut CT19$129+9%$55 – $235
Wisconsin WI107$125+6%$63 – $195
Nebraska NE77$116−2%$72 – $166
Ohio OH97$108−9%$78 – $162
Vermont VT13$107−10%$55 – $224
New Jersey NJ37$107−10%$78 – $385
Iowa IA93$106−10%$49 – $161
Alabama AL32$106−10%$44 – $287
Kentucky KY49$104−12%$44 – $170
South Carolina SC51$100−15%$45 – $167
Arkansas AR32$93−21%$57 – $105
Missouri MO65$92−22%$54 – $170
Montana MT26$88−26%$60 – $155
Oklahoma OK59$87−26%$56 – $148
Mississippi MS48$82−31%$43 – $125
Michigan MI81$82−31%$45 – $118
Minnesota MN106$81−32%$62 – $153
Kansas KS85$80−32%$46 – $129
Louisiana LA37$72−39%$37 – $160
West Virginia WV39$71−40%$63 – $142
Maine ME26$64−46%$34 – $129
New Hampshire NH25$60−49%$37 – $182
Tennessee TN61$58−51%$36 – $190
Indiana IN82$56−52%$33 – $158
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 $118.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,821$129$65 – $259
Children’s63$175$108 – $295
Critical access900$101$55 – $167
Ownership
For-profit306$226$91 – $595
Government577$102$55 – $173
Non-profit1,901$118$63 – $211
System affiliation
Part of a system2,228$122$63 – $236
Independent561$109$56 – $184

Cash price vs list price

Median list price (chargemaster)$190
Median cash price$118
Cash as a share of list, median hospital66%

At the typical hospital, asking for the cash price cuts the list price by about 34%. 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

1,805 hospitals filed a usable inpatient cash price for this code. The median is $126 and the average of the middle 60% is $129; most fall between $65 and $217.

Cash price percentiles, inpatient, across 1,805 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
$46$73$126$197$314

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($46 vs $314).

Of the 1,929 hospitals that filed this code inpatient, 1,805 gave a usable cash price; 21 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 101 a list price only.

How complete is this

2,789 of the 3,956 hospitals with a price file in our corpus (71%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,006 hospitals that filed this code at all gave us
Usable cash price — counted2,789
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded163
Hospitals that filed this code3,006

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 PR Occ Hlth Physical 20-29 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, “Office visit for an existing patient, moderate level (CPT 99213) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99213-office-visit-for-an-existing-patient-moderate-level