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Procedure price report · Consultation, evaluation, and preventative care

Daily hospital visit, lower complexity

CPT 99231the billing code this page is about

A clinician's follow-up visit on one day of a hospital inpatient or observation stay for a stable problem, about 25 minutes of care; billed once for each day it applies.

Hospitals typically charge $81 cash for this outpatient procedure — the median across 1,205 hospitals that filed a usable cash price; the average of the middle 60% is $80. Most fall between $48 and $119 (20th–80th percentile).

Hospitals
1,205
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 1,205 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
$36$54$81$108$152

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($36 vs $152).

How the prices are spread

$26 – $32: 30 hospitals$26$32 – $39: 49 hospitals$39 – $48: 94 hospitals$39$48 – $58: 124 hospitals$58 – $71: 138 hospitals$58$71 – $87: 167 hospitals$87 – $107: 233 hospitals$87$107 – $130: 124 hospitals$130 – $159: 79 hospitals$130$159 – $195: 47 hospitals$159median $81price bands are equal on a log scale
Hospitals per price band (1,085 of 1,205 — the bands cover the 5th to 95th percentile)
FromToHospitals
$26$3230
$32$3949
$39$4894
$48$58124
$58$71138
$71$87167
$87$107233
$107$130124
$130$15979
$159$19547

By state

The median cash price in each state, against the national median of $81.

Alaska: median $206 across 15 hospitalsAK$206Maine: median $85 across 23 hospitalsME$85Vermont: median $70 across 12 hospitalsVT$70New Hampshire: median $49 across 14 hospitalsNH$49Washington: median $91 across 37 hospitalsWA$91Idaho: median $90 across 12 hospitalsID$90Montana: median $89 across 27 hospitalsMT$89North Dakota: median $97 across 14 hospitalsND$97Minnesota: median $107 across 61 hospitalsMN$107Illinois: median $94 across 58 hospitalsIL$94Wisconsin: median $104 across 46 hospitalsWI$104Michigan: median $60 across 53 hospitalsMI$60New York: median $82 across 49 hospitalsNY$82Massachusetts: median $90 across 14 hospitalsMA$90Oregon: median $97 across 37 hospitalsOR$97Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: median $96 across 12 hospitalsWY$96South Dakota: median $102 across 30 hospitalsSD$102Iowa: median $90 across 81 hospitalsIA$90Indiana: median $55 across 36 hospitalsIN$55Ohio: median $78 across 28 hospitalsOH$78Pennsylvania: median $37 across 32 hospitalsPA$37New Jersey: median $49 across 12 hospitalsNJ$49Connecticut: median $124 across 13 hospitalsCT$124Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $95 across 42 hospitalsCA$95Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $86 across 24 hospitalsCO$86Nebraska: median $89 across 39 hospitalsNE$89Missouri: median $64 across 31 hospitalsMO$64Kentucky: median $57 across 26 hospitalsKY$57West Virginia: median $53 across 20 hospitalsWV$53Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $149 across 12 hospitalsAZ$149New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $70 across 54 hospitalsKS$70Arkansas: median $57 across 14 hospitalsAR$57Tennessee: median $32 across 18 hospitalsTN$32North Carolina: median $73 across 13 hospitalsNC$73South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $68 across 31 hospitalsOK$68Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $53 across 14 hospitalsMS$53Alabama: median $45 across 14 hospitalsAL$45Georgia: median $54 across 32 hospitalsGA$54Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $70 across 24 hospitalsTX$70Florida: median $70 across 22 hospitalsFL$70
Cash price by state, most expensive first. National median $81. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK15$206+154%$122 – $239
Arizona AZ12$149+84%$51 – $900
Connecticut CT13$124+53%$59 – $125
Minnesota MN61$107+32%$79 – $167
Wisconsin WI46$104+28%$95 – $175
South Dakota SD30$102+26%$72 – $172
Oregon OR37$97+20%$82 – $129
North Dakota ND14$97+20%$81 – $132
Wyoming WY12$96+19%$60 – $123
California CA42$95+17%$41 – $149
Illinois IL58$94+16%$65 – $162
Washington WA37$91+12%$67 – $133
Massachusetts MA14$90+11%$60 – $128
Iowa IA81$90+11%$69 – $104
Idaho ID12$90+11%$71 – $96
Montana MT27$89+10%$63 – $132
Nebraska NE39$89+10%$63 – $103
Colorado CO24$86+6%$57 – $119
Maine ME23$85+5%$37 – $133
New York NY49$82+2%$39 – $130
Ohio OH28$78−3%$41 – $181
North Carolina NC13$73−10%$28 – $98
Florida FL22$70−13%$45 – $110
Kansas KS54$70−14%$49 – $95
Texas TX24$70−14%$49 – $121
Vermont VT12$70−14%$50 – $111
Oklahoma OK31$68−16%$53 – $70
Missouri MO31$64−21%$42 – $75
Michigan MI53$60−25%$39 – $91
Arkansas AR14$57−29%$30 – $73
Kentucky KY26$57−30%$48 – $79
Indiana IN36$55−32%$41 – $105
Georgia GA32$54−33%$36 – $113
West Virginia WV20$53−35%$51 – $106
Mississippi MS14$53−35%$35 – $72
New Hampshire NH14$49−39%$48 – $80
New Jersey NJ12$49−39%$49 – $60
Alabama AL14$45−44%$39 – $154
Pennsylvania PA32$37−54%$30 – $73
Tennessee TN18$32−61%$12 – $64
South Carolina SC9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Utah UT3not 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 $81.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care584$73$42 – $110
Children’s19fewer than 20 hospitals
Critical access599$86$57 – $126
Ownership
For-profit61$70$42 – $107
Government339$84$53 – $122
Non-profit802$81$48 – $119
System affiliation
Part of a system832$80$48 – $113
Independent373$82$53 – $130

Cash price vs list price

Median list price (chargemaster)$115
Median cash price$81
Cash as a share of list, median hospital74%

At the typical hospital, asking for the cash price cuts the list price by about 26%. 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

740 hospitals filed a usable inpatient cash price for this code. The median is $82 and the average of the middle 60% is $81; most fall between $48 and $121.

Cash price percentiles, inpatient, across 740 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
$36$54$82$112$150

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($36 vs $150).

Of the 793 hospitals that filed this code inpatient, 740 gave a usable cash price; 3 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 49 a list price only.

How complete is this

1,205 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,289 hospitals that filed this code at all gave us
Usable cash price — counted1,205
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 — excluded69
Hospitals that filed this code1,289

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.

Related procedures

Part of the Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as Sbsq Hospital IP/Obs Care Sf/Low Mdm 25 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, “Daily hospital visit, lower complexity (CPT 99231) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99231-daily-hospital-visit-lower-complexity