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Procedure price report · Consultation, evaluation, and preventative care

Specialist clinic consultation, moderate-complexity visit

CPT 99244the billing code this page is about

An office or outpatient consultation requested by another provider, at the level involving a problem of moderate complexity and a longer period of physician time and decision-making.

Hospitals typically charge $244 cash for this outpatient procedure — the median across 1,021 hospitals that filed a usable cash price; the average of the middle 60% is $248. Most fall between $128 and $404 (20th–80th percentile).

Hospitals
1,021
States
48
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 1,021 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
$86$143$244$370$526

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($86 vs $526).

How the prices are spread

$57 – $72: 26 hospitals$57$72 – $92: 49 hospitals$92 – $118: 53 hospitals$92$118 – $151: 86 hospitals$151 – $193: 124 hospitals$151$193 – $246: 129 hospitals$246 – $315: 134 hospitals$246$315 – $402: 162 hospitals$402 – $513: 85 hospitals$402$513 – $656: 71 hospitals$513median $244price bands are equal on a log scale
Hospitals per price band (919 of 1,021 — the bands cover the 5th to 95th percentile)
FromToHospitals
$57$7226
$72$9249
$92$11853
$118$15186
$151$193124
$193$246129
$246$315134
$315$402162
$402$51385
$513$65671

By state

The median cash price in each state, against the national median of $244.

Alaska: median $516 across 12 hospitalsAK$516Maine: median $135 across 19 hospitalsME$135Vermont: median $297 across 10 hospitalsVT$297New Hampshire: median $205 across 10 hospitalsNH$205Washington: median $291 across 22 hospitalsWA$291Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $359 across 17 hospitalsMT$359North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $256 across 57 hospitalsMN$256Illinois: median $293 across 43 hospitalsIL$293Wisconsin: median $320 across 56 hospitalsWI$320Michigan: median $190 across 40 hospitalsMI$190New York: median $383 across 59 hospitalsNY$383Massachusetts: median $285 across 16 hospitalsMA$285Oregon: median $291 across 17 hospitalsOR$291Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $329 across 47 hospitalsIA$329Indiana: median $128 across 28 hospitalsIN$128Ohio: median $164 across 28 hospitalsOH$164Pennsylvania: median $260 across 44 hospitalsPA$260New Jersey: 8 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: median $485 across 12 hospitalsCT$485Rhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $186 across 44 hospitalsCA$186Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $301 across 18 hospitalsCO$301Nebraska: median $333 across 16 hospitalsNE$333Missouri: median $193 across 38 hospitalsMO$193Kentucky: median $128 across 18 hospitalsKY$128West Virginia: median $150 across 21 hospitalsWV$150Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $136 across 10 hospitalsAZ$136New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $245 across 28 hospitalsKS$245Arkansas: median $215 across 13 hospitalsAR$215Tennessee: median $135 across 10 hospitalsTN$135North Carolina: median $219 across 11 hospitalsNC$219South Carolina: median $228 across 13 hospitalsSC$228Oklahoma: median $214 across 26 hospitalsOK$214Louisiana: median $204 across 10 hospitalsLA$204Mississippi: median $160 across 22 hospitalsMS$160Alabama: median $171 across 14 hospitalsAL$171Georgia: median $245 across 33 hospitalsGA$245Hawaii: median $162 across 12 hospitalsHI$162Texas: median $198 across 37 hospitalsTX$198Florida: median $186 across 34 hospitalsFL$186
Cash price by state, most expensive first. National median $244. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK12$516+111%$364 – $647
Connecticut CT12$485+98%$254 – $485
New York NY59$383+57%$150 – $526
Montana MT17$359+47%$166 – $430
Nebraska NE16$333+36%$304 – $458
Iowa IA47$329+35%$214 – $364
Wisconsin WI56$320+31%$194 – $417
Colorado CO18$301+23%$140 – $518
Vermont VT10$297+21%$173 – $426
Illinois IL43$293+20%$128 – $467
Oregon OR17$291+19%$289 – $406
Washington WA22$291+19%$177 – $527
Massachusetts MA16$285+17%$217 – $444
Pennsylvania PA44$260+6%$103 – $307
Minnesota MN57$256+5%$189 – $366
Kansas KS28$2450%$170 – $284
Georgia GA33$2450%$165 – $673
South Carolina SC13$228−7%$38 – $266
North Carolina NC11$219−10%$119 – $279
Arkansas AR13$215−12%$83 – $299
Oklahoma OK26$214−12%$89 – $217
New Hampshire NH10$205−16%$90 – $303
Louisiana LA10$204−17%$138 – $328
Texas TX37$198−19%$162 – $348
Missouri MO38$193−21%$133 – $299
Michigan MI40$190−22%$140 – $246
Florida FL34$186−24%$46 – $391
California CA44$186−24%$85 – $466
Alabama AL14$171−30%$152 – $355
Ohio OH28$164−33%$105 – $466
Hawaii HI12$162−34%$101 – $176
Mississippi MS22$160−34%$90 – $215
West Virginia WV21$150−39%$83 – $241
Arizona AZ10$136−44%$88 – $256
Maine ME19$135−45%$50 – $402
Tennessee TN10$135−45%$127 – $235
Indiana IN28$128−48%$86 – $327
Kentucky KY18$128−48%$90 – $203
North Dakota ND8not enough hospitals filed a usable price
New Jersey NJ8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Utah UT2not 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 $244.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care586$217$121 – $391
Children’s42$455$198 – $600
Critical access391$260$135 – $388
Ownership
For-profit62$193$96 – $364
Government253$241$142 – $385
Non-profit704$248$128 – $428
System affiliation
Part of a system743$238$121 – $391
Independent278$252$143 – $430

Cash price vs list price

Median list price (chargemaster)$376
Median cash price$244
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

586 hospitals filed a usable inpatient cash price for this code. The median is $245 and the average of the middle 60% is $248; most fall between $133 and $383.

Cash price percentiles, inpatient, across 586 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
$90$151$245$355$503

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($90 vs $503).

Of the 639 hospitals that filed this code inpatient, 586 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 46 a list price only.

How complete is this

1,021 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,122 hospitals that filed this code at all gave us
Usable cash price — counted1,021
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded74
Hospitals that filed this code1,122

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/OP Consltj New/Est Pt Mod Mdm 40 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, “Specialist clinic consultation, moderate-complexity visit (CPT 99244) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99244-specialist-clinic-consultation-moderate-complexity-visit