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

Follow-up nursing home visit, moderate level

CPT 99309the billing code this page is about

Covers a follow-up evaluation of a nursing facility resident by a doctor or other clinician at a moderate level of complexity, typically about 30 minutes. Billed once per visit.

Hospitals typically charge $156 cash for this outpatient procedure — the median across 915 hospitals that filed a usable cash price; the average of the middle 60% is $157. Most fall between $101 and $227 (20th–80th percentile).

Hospitals
915
States
49
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 915 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
$72$110$156$205$272

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($72 vs $272).

How the prices are spread

$52 – $62: 27 hospitals$52$62 – $74: 30 hospitals$74 – $89: 43 hospitals$74$89 – $107: 73 hospitals$107 – $128: 103 hospitals$107$128 – $153: 121 hospitals$153 – $183: 150 hospitals$153$183 – $219: 118 hospitals$219 – $262: 101 hospitals$219$262 – $313: 59 hospitals$262median $156price bands are equal on a log scale
Hospitals per price band (825 of 915 — the bands cover the 5th to 95th percentile)
FromToHospitals
$52$6227
$62$7430
$74$8943
$89$10773
$107$128103
$128$153121
$153$183150
$183$219118
$219$262101
$262$31359

By state

The median cash price in each state, against the national median of $156.

Alaska: median $379 across 11 hospitalsAK$379Maine: median $137 across 20 hospitalsME$137Vermont: median $146 across 13 hospitalsVT$146New Hampshire: median $120 across 12 hospitalsNH$120Washington: median $174 across 24 hospitalsWA$174Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $186 across 23 hospitalsMT$186North Dakota: median $244 across 16 hospitalsND$244Minnesota: median $205 across 42 hospitalsMN$205Illinois: median $182 across 41 hospitalsIL$182Wisconsin: median $192 across 41 hospitalsWI$192Michigan: median $136 across 39 hospitalsMI$136New York: median $166 across 34 hospitalsNY$166Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $196 across 24 hospitalsOR$196Nevada: 6 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 $232 across 16 hospitalsSD$232Iowa: median $184 across 70 hospitalsIA$184Indiana: median $72 across 39 hospitalsIN$72Ohio: median $167 across 22 hospitalsOH$167Pennsylvania: median $78 across 21 hospitalsPA$78New Jersey: 9 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 $134 across 16 hospitalsCA$134Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $190 across 16 hospitalsCO$190Nebraska: median $192 across 49 hospitalsNE$192Missouri: median $134 across 25 hospitalsMO$134Kentucky: median $97 across 17 hospitalsKY$97West Virginia: median $116 across 21 hospitalsWV$116Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 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 $133 across 46 hospitalsKS$133Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $48 across 15 hospitalsTN$48North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $57 across 17 hospitalsSC$57Oklahoma: median $144 across 29 hospitalsOK$144Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $103 across 13 hospitalsMS$103Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $116 across 39 hospitalsTX$116Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $156. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK11$379+144%$281 – $447
North Dakota ND16$244+57%$190 – $288
South Dakota SD16$232+49%$161 – $256
Minnesota MN42$205+32%$146 – $259
Oregon OR24$196+26%$149 – $309
Wisconsin WI41$192+23%$178 – $273
Nebraska NE49$192+23%$146 – $225
Colorado CO16$190+22%$133 – $239
Montana MT23$186+20%$106 – $280
Iowa IA70$184+18%$130 – $210
Illinois IL41$182+17%$136 – $258
Washington WA24$174+12%$153 – $216
Ohio OH22$167+7%$91 – $395
New York NY34$166+7%$90 – $280
Vermont VT13$146−6%$126 – $244
Oklahoma OK29$144−7%$110 – $168
Maine ME20$137−12%$55 – $208
Michigan MI39$136−13%$44 – $167
Missouri MO25$134−14%$96 – $145
California CA16$134−14%$67 – $208
Kansas KS46$133−14%$103 – $180
New Hampshire NH12$120−23%$90 – $181
Texas TX39$116−25%$107 – $150
West Virginia WV21$116−25%$103 – $214
Mississippi MS13$103−34%$76 – $156
Kentucky KY17$97−38%$81 – $161
Pennsylvania PA21$78−50%$66 – $137
Indiana IN39$72−53%$51 – $151
South Carolina SC17$57−63%$57 – $116
Tennessee TN15$48−69%$44 – $111
Florida FL9not enough hospitals filed a usable price
New Jersey NJ9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $156.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care369$137$76 – $203
Children’s6fewer than 20 hospitals
Critical access540$171$112 – $235
Ownership
For-profit38$111$53 – $183
Government291$162$112 – $218
Non-profit586$156$95 – $234
System affiliation
Part of a system640$154$94 – $228
Independent275$161$107 – $224

Cash price vs list price

Median list price (chargemaster)$221
Median cash price$156
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

489 hospitals filed a usable inpatient cash price for this code. The median is $163 and the average of the middle 60% is $162; most fall between $103 and $231.

Cash price percentiles, inpatient, across 489 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
$72$113$163$212$272

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($72 vs $272).

Of the 525 hospitals that filed this code inpatient, 489 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 33 a list price only.

How complete is this

915 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 961 hospitals that filed this code at all gave us
Usable cash price — counted915
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 — excluded32
Hospitals that filed this code961

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 Sbsq Nursing Facility Care Mod Mdm 30 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, “Follow-up nursing home visit, moderate level (CPT 99309) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99309-follow-up-nursing-home-visit-moderate-level