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Procedure price report · Nonhospital-based care (e.g., home health care, hospice)

First nursing home visit, straightforward level

CPT 99304the billing code this page is about

An initial visit by a physician or other qualified clinician to a patient in a nursing facility, at the level involving a problem of straightforward or low complexity.

Hospitals typically charge $142 cash for this outpatient procedure — the median across 863 hospitals that filed a usable cash price; the average of the middle 60% is $144. Most fall between $89 and $204 (20th–80th percentile).

Hospitals
863
States
48
Filings dated
Mar 2023 – 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 863 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
$62$102$142$193$245

The most expensive tenth of hospitals charges at least 3.9× what the cheapest tenth charges ($62 vs $245).

How the prices are spread

$50 – $59: 36 hospitals$50$59 – $70: 24 hospitals$70 – $84: 50 hospitals$70$84 – $99: 55 hospitals$99 – $118: 92 hospitals$99$118 – $141: 125 hospitals$141 – $167: 135 hospitals$141$167 – $199: 110 hospitals$199 – $237: 87 hospitals$199$237 – $282: 63 hospitals$237median $142price bands are equal on a log scale
Hospitals per price band (777 of 863 — the bands cover the 5th to 95th percentile)
FromToHospitals
$50$5936
$59$7024
$70$8450
$84$9955
$99$11892
$118$141125
$141$167135
$167$199110
$199$23787
$237$28263

By state

The median cash price in each state, against the national median of $142.

Alaska: median $296 across 11 hospitalsAK$296Maine: median $116 across 19 hospitalsME$116Vermont: median $138 across 12 hospitalsVT$138New Hampshire: median $122 across 11 hospitalsNH$122Washington: median $163 across 22 hospitalsWA$163Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $187 across 22 hospitalsMT$187North Dakota: median $230 across 15 hospitalsND$230Minnesota: median $185 across 37 hospitalsMN$185Illinois: median $159 across 40 hospitalsIL$159Wisconsin: median $175 across 40 hospitalsWI$175Michigan: median $122 across 40 hospitalsMI$122New York: median $161 across 33 hospitalsNY$161Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $189 across 23 hospitalsOR$189Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $193 across 11 hospitalsSD$193Iowa: median $162 across 63 hospitalsIA$162Indiana: median $70 across 38 hospitalsIN$70Ohio: median $150 across 22 hospitalsOH$150Pennsylvania: median $61 across 20 hospitalsPA$61New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $111 across 16 hospitalsCA$111Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $196 across 15 hospitalsCO$196Nebraska: median $170 across 46 hospitalsNE$170Missouri: median $121 across 25 hospitalsMO$121Kentucky: median $96 across 15 hospitalsKY$96West Virginia: median $102 across 21 hospitalsWV$102Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $124 across 46 hospitalsKS$124Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $50 across 15 hospitalsTN$50North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $58 across 17 hospitalsSC$58Oklahoma: median $109 across 30 hospitalsOK$109Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $103 across 11 hospitalsMS$103Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $120 across 39 hospitalsTX$120Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $142. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK11$296+109%$255 – $450
North Dakota ND15$230+62%$142 – $273
Colorado CO15$196+38%$129 – $248
South Dakota SD11$193+36%$118 – $242
Oregon OR23$189+34%$119 – $300
Montana MT22$187+32%$128 – $224
Minnesota MN37$185+30%$132 – $232
Wisconsin WI40$175+23%$167 – $213
Nebraska NE46$170+20%$138 – $202
Washington WA22$163+15%$146 – $221
Iowa IA63$162+15%$126 – $200
New York NY33$161+14%$87 – $223
Illinois IL40$159+12%$115 – $237
Ohio OH22$150+6%$98 – $295
Vermont VT12$138−3%$118 – $221
Kansas KS46$124−12%$95 – $168
Michigan MI40$122−14%$44 – $158
New Hampshire NH11$122−14%$93 – $162
Missouri MO25$121−14%$85 – $134
Texas TX39$120−15%$90 – $150
Maine ME19$116−18%$52 – $205
California CA16$111−21%$44 – $195
Oklahoma OK30$109−23%$84 – $160
Mississippi MS11$103−27%$68 – $117
West Virginia WV21$102−28%$80 – $193
Kentucky KY15$96−32%$70 – $146
Indiana IN38$70−50%$50 – $131
Pennsylvania PA20$61−57%$50 – $122
South Carolina SC17$58−59%$58 – $88
Tennessee TN15$50−65%$47 – $110
Florida FL9not enough hospitals filed a usable price
Georgia GA9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maryland MD1not 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 $142.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care348$120$65 – $187
Children’s6fewer than 20 hospitals
Critical access509$155$106 – $214
Ownership
For-profit40$102$53 – $172
Government282$150$102 – $204
Non-profit541$138$85 – $210
System affiliation
Part of a system601$136$83 – $197
Independent262$150$104 – $221

Cash price vs list price

Median list price (chargemaster)$201
Median cash price$142
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

447 hospitals filed a usable inpatient cash price for this code. The median is $146 and the average of the middle 60% is $145; most fall between $89 and $205.

Cash price percentiles, inpatient, across 447 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
$65$100$146$192$232

The most expensive tenth of hospitals charges at least 3.6× what the cheapest tenth charges ($65 vs $232).

Of the 475 hospitals that filed this code inpatient, 447 gave a usable cash price; 2 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

863 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 903 hospitals that filed this code at all gave us
Usable cash price — counted863
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) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded26
Hospitals that filed this code903

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 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 Nonhospital-based care (e.g., home health care, hospice) family.

Hospitals file this code under descriptions such as Initial Nursing Facility Care Sf/Low Mdm 25 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, “First nursing home visit, straightforward level (CPT 99304) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99304-first-nursing-home-visit-straightforward-level