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

Nursing home discharge visit, more than 30 minutes

CPT 99316the billing code this page is about

Covers the clinician's work on the day a patient leaves a nursing facility, including the final exam, discharge instructions and paperwork, when it takes more than 30 minutes.

Hospitals typically charge $176 cash for this outpatient procedure — the median across 802 hospitals that filed a usable cash price; the average of the middle 60% is $179. Most fall between $109 and $261 (20th–80th percentile).

Hospitals
802
States
47
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 802 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
$79$123$176$239$328

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($79 vs $328).

How the prices are spread

$59 – $71: 34 hospitals$59$71 – $85: 34 hospitals$85 – $103: 36 hospitals$85$103 – $124: 58 hospitals$124 – $149: 111 hospitals$124$149 – $179: 108 hospitals$179 – $215: 104 hospitals$179$215 – $259: 110 hospitals$259 – $312: 66 hospitals$259$312 – $375: 61 hospitals$312median $176price bands are equal on a log scale
Hospitals per price band (722 of 802 — the bands cover the 5th to 95th percentile)
FromToHospitals
$59$7134
$71$8534
$85$10336
$103$12458
$124$149111
$149$179108
$179$215104
$215$259110
$259$31266
$312$37561

By state

The median cash price in each state, against the national median of $176.

Alaska: median $416 across 11 hospitalsAK$416Maine: median $160 across 18 hospitalsME$160Vermont: median $152 across 12 hospitalsVT$152New Hampshire: median $142 across 11 hospitalsNH$142Washington: median $236 across 21 hospitalsWA$236Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $199 across 22 hospitalsMT$199North Dakota: median $280 across 13 hospitalsND$280Minnesota: median $246 across 36 hospitalsMN$246Illinois: median $197 across 37 hospitalsIL$197Wisconsin: median $221 across 40 hospitalsWI$221Michigan: median $147 across 38 hospitalsMI$147New York: median $190 across 30 hospitalsNY$190Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $237 across 28 hospitalsOR$237Nevada: 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 $261 across 14 hospitalsSD$261Iowa: median $220 across 58 hospitalsIA$220Indiana: median $81 across 40 hospitalsIN$81Ohio: median $198 across 19 hospitalsOH$198Pennsylvania: median $95 across 17 hospitalsPA$95New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $185 across 14 hospitalsCA$185Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $185 across 16 hospitalsCO$185Nebraska: median $203 across 40 hospitalsNE$203Missouri: median $133 across 24 hospitalsMO$133Kentucky: median $110 across 14 hospitalsKY$110West Virginia: median $142 across 18 hospitalsWV$142Virginia: 5 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $140 across 42 hospitalsKS$140Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $60 across 15 hospitalsTN$60North Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $61 across 16 hospitalsSC$61Oklahoma: median $178 across 28 hospitalsOK$178Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: median $86 across 12 hospitalsMS$86Alabama: 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 $135 across 28 hospitalsTX$135Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $176. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK11$416+136%$332 – $569
North Dakota ND13$280+59%$218 – $350
South Dakota SD14$261+48%$183 – $317
Minnesota MN36$246+40%$157 – $323
Oregon OR28$237+34%$180 – $362
Washington WA21$236+34%$175 – $300
Wisconsin WI40$221+26%$221 – $331
Iowa IA58$220+25%$150 – $252
Nebraska NE40$203+15%$171 – $254
Montana MT22$199+13%$125 – $322
Ohio OH19$198+12%$94 – $650
Illinois IL37$197+12%$128 – $303
New York NY30$190+8%$104 – $319
California CA14$185+5%$64 – $241
Colorado CO16$185+5%$139 – $273
Oklahoma OK28$178+1%$137 – $195
Maine ME18$160−9%$67 – $245
Vermont VT12$152−14%$135 – $291
Michigan MI38$147−17%$49 – $192
New Hampshire NH11$142−19%$109 – $175
West Virginia WV18$142−19%$128 – $285
Kansas KS42$140−21%$105 – $185
Texas TX28$135−23%$129 – $165
Missouri MO24$133−24%$108 – $157
Kentucky KY14$110−37%$79 – $200
Pennsylvania PA17$95−46%$80 – $148
Mississippi MS12$86−51%$59 – $163
Indiana IN40$81−54%$58 – $140
South Carolina SC16$61−66%$61 – $144
Tennessee TN15$60−66%$52 – $128
Wyoming WY9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Louisiana LA1not 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 $176.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care314$147$79 – $239
Children’s4fewer than 20 hospitals
Critical access484$190$125 – $280
Ownership
For-profit34$114$58 – $196
Government255$182$120 – $252
Non-profit513$177$103 – $272
System affiliation
Part of a system566$174$104 – $258
Independent236$181$118 – $288

Cash price vs list price

Median list price (chargemaster)$257
Median cash price$176
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

423 hospitals filed a usable inpatient cash price for this code. The median is $178 and the average of the middle 60% is $181; most fall between $110 and $270.

Cash price percentiles, inpatient, across 423 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
$79$127$178$239$328

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($79 vs $328).

Of the 452 hospitals that filed this code inpatient, 423 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 28 a list price only.

How complete is this

802 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 843 hospitals that filed this code at all gave us
Usable cash price — counted802
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 — excluded27
Hospitals that filed this code843

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 Nursing Facility Dschrg Mgmt 30 Min+ Tot Time.

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, “Nursing home discharge visit, more than 30 minutes (CPT 99316) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99316-nursing-home-discharge-visit-more-than-30-minutes