HRHospitalRates.comCompare prices

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

First nursing home visit, moderate-complexity level

CPT 99305the 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 moderate complexity.

Hospitals typically charge $204 cash for this outpatient procedure — the median across 889 hospitals that filed a usable cash price; the average of the middle 60% is $207. Most fall between $127 and $295 (20th–80th percentile).

Hospitals
889
States
48
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 889 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
$94$140$204$274$354

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($94 vs $354).

How the prices are spread

$71 – $85: 35 hospitals$71$85 – $102: 46 hospitals$102 – $122: 43 hospitals$102$122 – $146: 68 hospitals$146 – $174: 101 hospitals$146$174 – $209: 124 hospitals$209 – $249: 137 hospitals$209$249 – $298: 122 hospitals$298 – $357: 86 hospitals$298$357 – $427: 44 hospitals$357median $204price bands are equal on a log scale
Hospitals per price band (806 of 889 — the bands cover the 5th to 95th percentile)
FromToHospitals
$71$8535
$85$10246
$102$12243
$122$14668
$146$174101
$174$209124
$209$249137
$249$298122
$298$35786
$357$42744

By state

The median cash price in each state, against the national median of $204.

Alaska: median $496 across 11 hospitalsAK$496Maine: median $164 across 20 hospitalsME$164Vermont: median $190 across 13 hospitalsVT$190New Hampshire: median $164 across 12 hospitalsNH$164Washington: median $244 across 22 hospitalsWA$244Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $262 across 21 hospitalsMT$262North Dakota: median $349 across 18 hospitalsND$349Minnesota: median $255 across 39 hospitalsMN$255Illinois: median $221 across 42 hospitalsIL$221Wisconsin: median $273 across 41 hospitalsWI$273Michigan: median $201 across 39 hospitalsMI$201New York: median $214 across 33 hospitalsNY$214Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $261 across 23 hospitalsOR$261Nevada: 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 $323 across 14 hospitalsSD$323Iowa: median $232 across 68 hospitalsIA$232Indiana: median $100 across 38 hospitalsIN$100Ohio: median $210 across 22 hospitalsOH$210Pennsylvania: median $97 across 20 hospitalsPA$97New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $185 across 17 hospitalsCA$185Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $217 across 16 hospitalsCO$217Nebraska: median $243 across 47 hospitalsNE$243Missouri: median $175 across 26 hospitalsMO$175Kentucky: median $137 across 17 hospitalsKY$137West Virginia: median $159 across 21 hospitalsWV$159Virginia: 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 $161 across 45 hospitalsKS$161Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $96 across 15 hospitalsTN$96North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $82 across 17 hospitalsSC$82Oklahoma: median $181 across 30 hospitalsOK$181Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $131 across 14 hospitalsMS$131Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $170 across 41 hospitalsTX$170Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $204. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK11$496+144%$358 – $643
North Dakota ND18$349+71%$243 – $383
South Dakota SD14$323+59%$215 – $336
Wisconsin WI41$273+34%$252 – $354
Montana MT21$262+29%$185 – $350
Oregon OR23$261+28%$200 – $388
Minnesota MN39$255+25%$174 – $335
Washington WA22$244+20%$192 – $298
Nebraska NE47$243+19%$203 – $278
Iowa IA68$232+14%$173 – $285
Illinois IL42$221+9%$153 – $346
Colorado CO16$217+6%$186 – $352
New York NY33$214+5%$126 – $347
Ohio OH22$210+3%$135 – $489
Michigan MI39$201−1%$60 – $217
Vermont VT13$190−7%$157 – $333
California CA17$185−9%$66 – $278
Oklahoma OK30$181−11%$128 – $202
Missouri MO26$175−14%$118 – $189
Texas TX41$170−17%$127 – $212
Maine ME20$164−19%$78 – $275
New Hampshire NH12$164−20%$134 – $237
Kansas KS45$161−21%$120 – $220
West Virginia WV21$159−22%$136 – $270
Kentucky KY17$137−33%$100 – $208
Mississippi MS14$131−36%$88 – $187
Indiana IN38$100−51%$71 – $182
Pennsylvania PA20$97−52%$82 – $172
Tennessee TN15$96−53%$65 – $158
South Carolina SC17$82−60%$82 – $146
Florida FL9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Utah UT2not 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 $204.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care357$181$97 – $272
Children’s5fewer than 20 hospitals
Critical access527$223$144 – $301
Ownership
For-profit38$140$94 – $252
Government287$211$140 – $286
Non-profit564$202$121 – $310
System affiliation
Part of a system623$202$121 – $293
Independent266$211$134 – $302

Cash price vs list price

Median list price (chargemaster)$290
Median cash price$204
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

457 hospitals filed a usable inpatient cash price for this code. The median is $216 and the average of the middle 60% is $211; most fall between $132 and $301.

Cash price percentiles, inpatient, across 457 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
$96$147$216$276$359

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($96 vs $359).

Of the 488 hospitals that filed this code inpatient, 457 gave a usable cash price; 3 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

889 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 931 hospitals that filed this code at all gave us
Usable cash price — counted889
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 — excluded28
Hospitals that filed this code931

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 Mod Mdm 35 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, “First nursing home visit, moderate-complexity level (CPT 99305) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99305-first-nursing-home-visit-moderate-complexity-level