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

First nursing home visit by a doctor, most involved level

CPT 99306the billing code this page is about

Covers a doctor's or other clinician's first evaluation of a patient admitted to a nursing facility, at the most detailed level, typically about 45 minutes spent with the patient or on the unit.

Hospitals typically charge $256 cash for this outpatient procedure — the median across 871 hospitals that filed a usable cash price; the average of the middle 60% is $266. Most fall between $160 and $382 (20th–80th percentile).

Hospitals
871
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 871 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
$116$181$256$349$448

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($116 vs $448).

How the prices are spread

$87 – $104: 21 hospitals$87$104 – $125: 39 hospitals$125 – $149: 55 hospitals$125$149 – $178: 50 hospitals$178 – $213: 84 hospitals$178$213 – $254: 136 hospitals$254 – $304: 95 hospitals$254$304 – $363: 148 hospitals$363 – $434: 93 hospitals$363$434 – $518: 64 hospitals$434median $256price bands are equal on a log scale
Hospitals per price band (785 of 871 — the bands cover the 5th to 95th percentile)
FromToHospitals
$87$10421
$104$12539
$125$14955
$149$17850
$178$21384
$213$254136
$254$30495
$304$363148
$363$43493
$434$51864

By state

The median cash price in each state, against the national median of $256.

Alaska: median $697 across 11 hospitalsAK$697Maine: median $206 across 20 hospitalsME$206Vermont: median $248 across 11 hospitalsVT$248New Hampshire: median $207 across 12 hospitalsNH$207Washington: median $330 across 23 hospitalsWA$330Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $335 across 22 hospitalsMT$335North Dakota: median $438 across 14 hospitalsND$438Minnesota: median $338 across 39 hospitalsMN$338Illinois: median $283 across 41 hospitalsIL$283Wisconsin: median $350 across 40 hospitalsWI$350Michigan: median $246 across 39 hospitalsMI$246New York: median $271 across 34 hospitalsNY$271Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $348 across 28 hospitalsOR$348Nevada: 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: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $334 across 65 hospitalsIA$334Indiana: median $132 across 44 hospitalsIN$132Ohio: median $303 across 21 hospitalsOH$303Pennsylvania: median $137 across 19 hospitalsPA$137New 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 $265 across 16 hospitalsCA$265Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $318 across 17 hospitalsCO$318Nebraska: median $309 across 46 hospitalsNE$309Missouri: median $241 across 25 hospitalsMO$241Kentucky: median $173 across 14 hospitalsKY$173West Virginia: median $188 across 21 hospitalsWV$188Virginia: 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 $197 across 44 hospitalsKS$197Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $94 across 16 hospitalsTN$94North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $105 across 17 hospitalsSC$105Oklahoma: median $247 across 29 hospitalsOK$247Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $142 across 13 hospitalsMS$142Alabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $220 across 35 hospitalsTX$220Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $256. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK11$697+172%$435 – $825
North Dakota ND14$438+71%$321 – $503
Wisconsin WI40$350+37%$326 – $461
Oregon OR28$348+36%$292 – $521
Minnesota MN39$338+32%$236 – $435
Montana MT22$335+31%$237 – $478
Iowa IA65$334+30%$219 – $378
Washington WA23$330+29%$273 – $385
Colorado CO17$318+24%$240 – $432
Nebraska NE46$309+21%$235 – $360
Ohio OH21$303+18%$190 – $668
Illinois IL41$283+10%$202 – $446
New York NY34$271+6%$165 – $443
California CA16$265+4%$85 – $379
Vermont VT11$248−3%$226 – $411
Oklahoma OK29$247−3%$160 – $295
Michigan MI39$246−4%$78 – $289
Missouri MO25$241−6%$152 – $250
Texas TX35$220−14%$188 – $246
New Hampshire NH12$207−19%$176 – $349
Maine ME20$206−19%$99 – $339
Kansas KS44$197−23%$153 – $280
West Virginia WV21$188−27%$185 – $347
Kentucky KY14$173−32%$128 – $310
Mississippi MS13$142−44%$103 – $206
Pennsylvania PA19$137−46%$112 – $219
Indiana IN44$132−48%$92 – $219
South Carolina SC17$105−59%$105 – $200
Tennessee TN16$94−63%$83 – $203
Florida FL9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Idaho ID7not 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
Massachusetts MA4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not 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 $256.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care357$231$128 – $345
Children’s5fewer than 20 hospitals
Critical access509$287$185 – $396
Ownership
For-profit39$188$97 – $339
Government279$271$182 – $363
Non-profit553$254$148 – $396
System affiliation
Part of a system610$250$149 – $377
Independent261$273$179 – $389

Cash price vs list price

Median list price (chargemaster)$376
Median cash price$256
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

462 hospitals filed a usable inpatient cash price for this code. The median is $270 and the average of the middle 60% is $273; most fall between $173 and $388.

Cash price percentiles, inpatient, across 462 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
$118$188$270$361$443

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($118 vs $443).

Of the 495 hospitals that filed this code inpatient, 462 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 30 a list price only.

How complete is this

871 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 917 hospitals that filed this code at all gave us
Usable cash price — counted871
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
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 — excluded30
Hospitals that filed this code917

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 Hi Mdm 50 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 by a doctor, most involved level (CPT 99306) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99306-first-nursing-home-visit-by-a-doctor-most-involved-level