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

First doctor home visit, low level

CPT 99342the billing code this page is about

Covers a clinician's first evaluation of a new patient at the patient's home at a low level of complexity. Billed once per visit.

Hospitals typically charge $146 cash for this outpatient procedure — the median across 609 hospitals that filed a usable cash price; the average of the middle 60% is $150. Most fall between $89 and $217 (20th–80th percentile).

Hospitals
609
States
50
Filings dated
Dec 2022 – 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 609 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
$65$101$146$207$253

The most expensive tenth of hospitals charges at least 3.9× what the cheapest tenth charges ($65 vs $253).

How the prices are spread

$44 – $54: 20 hospitals$44$54 – $67: 24 hospitals$67 – $83: 24 hospitals$67$83 – $103: 59 hospitals$103 – $128: 85 hospitals$103$128 – $158: 113 hospitals$158 – $196: 80 hospitals$158$196 – $242: 108 hospitals$242 – $300: 33 hospitals$242$300 – $371: 6 hospitals$300median $146price bands are equal on a log scale
Hospitals per price band (552 of 609 — the bands cover the 5th to 95th percentile)
FromToHospitals
$44$5420
$54$6724
$67$8324
$83$10359
$103$12885
$128$158113
$158$19680
$196$242108
$242$30033
$300$3716

By state

The median cash price in each state, against the national median of $146.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $144 across 18 hospitalsME$144Vermont: median $153 across 12 hospitalsVT$153New Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $149 across 18 hospitalsWA$149Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $172 across 15 hospitalsMT$172North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $199 across 26 hospitalsMN$199Illinois: median $145 across 26 hospitalsIL$145Wisconsin: median $200 across 32 hospitalsWI$200Michigan: median $134 across 35 hospitalsMI$134New York: median $193 across 43 hospitalsNY$193Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $169 across 26 hospitalsOR$169Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $146 across 37 hospitalsIA$146Indiana: median $70 across 20 hospitalsIN$70Ohio: median $139 across 17 hospitalsOH$139Pennsylvania: 5 hospitals filed a usable price — fewer than 10, so no figurePANew 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: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $238 across 29 hospitalsCA$238Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $146 across 24 hospitalsNE$146Missouri: median $124 across 12 hospitalsMO$124Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $96 across 16 hospitalsWV$96Virginia: 4 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: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $126 across 21 hospitalsKS$126Arkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $47 across 11 hospitalsTN$47North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $146 across 15 hospitalsOK$146Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $110 across 27 hospitalsTX$110Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $146. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA29$238+63%$127 – $238
Wisconsin WI32$200+38%$172 – $270
Minnesota MN26$199+37%$136 – $217
New York NY43$193+32%$75 – $999,999,999
Montana MT15$172+18%$134 – $212
Oregon OR26$169+16%$142 – $212
Vermont VT12$153+5%$109 – $232
Washington WA18$149+2%$134 – $198
Nebraska NE24$1460%$130 – $176
Oklahoma OK15$1460%$93 – $146
Iowa IA37$1460%$122 – $189
Illinois IL26$1450%$98 – $220
Maine ME18$144−1%$50 – $247
Ohio OH17$139−5%$101 – $281
Michigan MI35$134−8%$44 – $214
Kansas KS21$126−13%$95 – $171
Missouri MO12$124−15%$109 – $128
Texas TX27$110−24%$77 – $132
West Virginia WV16$96−34%$88 – $191
Indiana IN20$70−52%$46 – $138
Tennessee TN11$47−68%$40 – $95
Kentucky KY9not enough hospitals filed a usable price
North Dakota ND9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
New Jersey NJ8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Pennsylvania PA5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not 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 $146.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care317$142$85 – $217
Children’s6fewer than 20 hospitals
Critical access286$156$98 – $217
Ownership
For-profit29$96$46 – $146
Government155$139$95 – $184
Non-profit425$150$93 – $224
System affiliation
Part of a system447$146$86 – $217
Independent162$143$102 – $219

Cash price vs list price

Median list price (chargemaster)$202
Median cash price$146
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

315 hospitals filed a usable inpatient cash price for this code. The median is $146 and the average of the middle 60% is $148; most fall between $88 and $221.

Cash price percentiles, inpatient, across 315 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
$67$105$146$200$238

The most expensive tenth of hospitals charges at least 3.6× what the cheapest tenth charges ($67 vs $238).

Of the 340 hospitals that filed this code inpatient, 315 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 24 a list price only.

How complete is this

609 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 655 hospitals that filed this code at all gave us
Usable cash price — counted609
Cash price carrying a plausibility flag — shown on the compare tool, excluded here11
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 — excluded35
Hospitals that filed this code655

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 July 20, 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.

Related procedures

Part of the Nonhospital-based care (e.g., home health care, hospice) family.

Hospitals file this code under descriptions such as Home/Res Visit New Patient Low 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, “First doctor home visit, low level (CPT 99342) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99342-first-doctor-home-visit-low-level