HRHospitalRates.comCompare prices

Procedure price report

Yearly check-up visit for a stable nursing home resident

CPT 99318the billing code this page is about

Covers the annual evaluation of a nursing facility resident whose condition is stable, typically about 30 minutes. This code is no longer in current use.

Hospitals typically charge $134 cash for this outpatient procedure — the median across 155 hospitals that filed a usable cash price; the average of the middle 60% is $139. Most fall between $100 and $189 (20th–80th percentile).

Hospitals
155
States
34
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 155 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
$74$103$134$189$233

The most expensive tenth of hospitals charges at least 3.2× what the cheapest tenth charges ($74 vs $233).

How the prices are spread

$74 – $84: 13 hospitals$74$84 – $96: 7 hospitals$96 – $110: 16 hospitals$96$110 – $125: 25 hospitals$125 – $142: 19 hospitals$125$142 – $162: 16 hospitals$162 – $185: 12 hospitals$162$185 – $211: 19 hospitals$211 – $241: 7 hospitals$211$241 – $275: 8 hospitals$241median $134price bands are equal on a log scale
Hospitals per price band (142 of 155 — the bands cover the 5th to 95th percentile)
FromToHospitals
$74$8413
$84$967
$96$11016
$110$12525
$125$14219
$142$16216
$162$18512
$185$21119
$211$2417
$241$2758

By state

The median cash price in each state, against the national median of $134.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $134 across 11 hospitalsIL$134Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: 6 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: 8 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: 2 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 1 hospital filed a usable price — fewer than 10, so no figurePANew Jersey: no hospital in the corpus filed a usable priceNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: no hospital in the corpus filed a usable priceCAUtah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $206 across 11 hospitalsNE$206Missouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $100 across 12 hospitalsOK$100Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $123 across 21 hospitalsTX$123Florida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $134. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Nebraska NE11$206+54%$161 – $243
Illinois IL11$134+1%$74 – $167
Texas TX21$123−8%$123 – $128
Oklahoma OK12$100−25%$100 – $100
Iowa IA8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Ohio OH2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Pennsylvania PA1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
West Virginia WV1not 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 $134.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care76$123$100 – $163
Children’s1fewer than 20 hospitals
Critical access78$152$97 – $206
Ownership
For-profit12fewer than 20 hospitals
Government47$152$103 – $213
Non-profit96$132$100 – $189
System affiliation
Part of a system115$127$100 – $189
Independent40$150$94 – $192

Cash price vs list price

Median list price (chargemaster)$211
Median cash price$134
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.

How complete is this

155 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 169 hospitals that filed this code at all gave us
Usable cash price — counted155
Cash price carrying a plausibility flag — shown on the compare tool, excluded here4
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 — excluded10
Hospitals that filed this code169

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as Other Pro.

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, “Yearly check-up visit for a stable nursing home resident (CPT 99318) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99318-yearly-check-up-visit-for-a-stable-nursing-home-resident