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

Follow-up nursing home visit, most involved level

CPT 99310the billing code this page is about

Covers a follow-up evaluation of a nursing facility resident by a doctor or other clinician at the highest level of complexity, typically about 45 minutes. Billed once per visit.

Hospitals typically charge $216 cash for this outpatient procedure — the median across 837 hospitals that filed a usable cash price; the average of the middle 60% is $223. Most fall between $139 and $329 (20th–80th percentile).

Hospitals
837
States
49
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 837 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
$100$153$216$297$392

The most expensive tenth of hospitals charges at least 3.9× what the cheapest tenth charges ($100 vs $392).

How the prices are spread

$75 – $90: 29 hospitals$75$90 – $107: 39 hospitals$107 – $128: 36 hospitals$107$128 – $153: 66 hospitals$153 – $182: 86 hospitals$153$182 – $217: 127 hospitals$217 – $260: 102 hospitals$217$260 – $310: 118 hospitals$310 – $370: 86 hospitals$310$370 – $441: 67 hospitals$370median $216price bands are equal on a log scale
Hospitals per price band (756 of 837 — the bands cover the 5th to 95th percentile)
FromToHospitals
$75$9029
$90$10739
$107$12836
$128$15366
$153$18286
$182$217127
$217$260102
$260$310118
$310$37086
$370$44167

By state

The median cash price in each state, against the national median of $216.

Alaska: median $488 across 10 hospitalsAK$488Maine: median $162 across 20 hospitalsME$162Vermont: median $210 across 12 hospitalsVT$210New Hampshire: median $182 across 11 hospitalsNH$182Washington: median $272 across 23 hospitalsWA$272Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $254 across 21 hospitalsMT$254North Dakota: median $359 across 16 hospitalsND$359Minnesota: median $330 across 37 hospitalsMN$330Illinois: median $254 across 39 hospitalsIL$254Wisconsin: median $279 across 41 hospitalsWI$279Michigan: median $194 across 39 hospitalsMI$194New York: median $244 across 32 hospitalsNY$244Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $279 across 21 hospitalsOR$279Nevada: 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: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $270 across 57 hospitalsIA$270Indiana: median $105 across 42 hospitalsIN$105Ohio: median $246 across 21 hospitalsOH$246Pennsylvania: median $112 across 19 hospitalsPA$112New Jersey: 8 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 $223 across 14 hospitalsCA$223Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $278 across 14 hospitalsCO$278Nebraska: median $260 across 44 hospitalsNE$260Missouri: median $198 across 22 hospitalsMO$198Kentucky: median $139 across 13 hospitalsKY$139West Virginia: median $158 across 20 hospitalsWV$158Virginia: 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 $170 across 44 hospitalsKS$170Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $76 across 16 hospitalsTN$76North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $85 across 17 hospitalsSC$85Oklahoma: median $207 across 28 hospitalsOK$207Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $100 across 10 hospitalsMS$100Alabama: 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 $173 across 35 hospitalsTX$173Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $216. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK10$488+126%$384 – $666
North Dakota ND16$359+66%$282 – $408
Minnesota MN37$330+53%$197 – $369
Wisconsin WI41$279+29%$266 – $389
Oregon OR21$279+29%$231 – $421
Colorado CO14$278+28%$189 – $359
Washington WA23$272+26%$218 – $316
Iowa IA57$270+25%$194 – $287
Nebraska NE44$260+20%$216 – $312
Montana MT21$254+18%$192 – $402
Illinois IL39$254+18%$176 – $383
Ohio OH21$246+14%$151 – $564
New York NY32$244+13%$146 – $409
California CA14$223+3%$76 – $316
Vermont VT12$210−3%$185 – $347
Oklahoma OK28$207−4%$134 – $210
Missouri MO22$198−9%$131 – $212
Michigan MI39$194−10%$63 – $241
New Hampshire NH11$182−16%$110 – $227
Texas TX35$173−20%$143 – $222
Kansas KS44$170−21%$140 – $236
Maine ME20$162−25%$79 – $286
West Virginia WV20$158−27%$148 – $253
Kentucky KY13$139−36%$105 – $232
Pennsylvania PA19$112−48%$94 – $208
Indiana IN42$105−51%$74 – $170
Mississippi MS10$100−54%$52 – $190
South Carolina SC17$85−60%$85 – $167
Tennessee TN16$76−65%$71 – $164
South Dakota SD9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
New Jersey NJ8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Idaho ID6not 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
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
Connecticut CT2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Utah UT1not 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 $216.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care347$194$105 – $282
Children’s5fewer than 20 hospitals
Critical access485$241$156 – $336
Ownership
For-profit37$167$78 – $272
Government261$231$154 – $316
Non-profit539$210$127 – $334
System affiliation
Part of a system590$208$121 – $324
Independent247$231$156 – $342

Cash price vs list price

Median list price (chargemaster)$319
Median cash price$216
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

448 hospitals filed a usable inpatient cash price for this code. The median is $224 and the average of the middle 60% is $230; most fall between $139 and $333.

Cash price percentiles, inpatient, across 448 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
$102$159$224$302$383

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($102 vs $383).

Of the 479 hospitals that filed this code inpatient, 448 gave a usable cash price; 1 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

837 of the 3,956 hospitals with a price file in our corpus (21%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 881 hospitals that filed this code at all gave us
Usable cash price — counted837
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 — excluded30
Hospitals that filed this code881

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 High Mdm 45 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, most involved level (CPT 99310) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99310-follow-up-nursing-home-visit-most-involved-level