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Procedure price report

First doctor home visit, moderate level

CPT 99343the billing code this page is about

Covers a clinician's first evaluation of a new patient at the patient's home at a moderate level of complexity. This code is no longer in current use.

Hospitals typically charge $206 cash for this outpatient procedure — the median across 161 hospitals that filed a usable cash price; the average of the middle 60% is $206. Most fall between $136 and $344 (20th–80th percentile).

Hospitals
161
States
38
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 161 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
$104$136$206$291$470

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($104 vs $470).

How the prices are spread

$98 – $492: 138 hospitals$98$492 – $2,472: 3 hospitals$2,472 – $12,412: 0 hospitals$2,472$12,412 – $62,336: 0 hospitals$62,336 – $313,050: 0 hospitals$62,336$313,050 – $1,572,137: 0 hospitals$1,572,137 – $7,895,285: 0 hospitals$1,572,137$7,895,285 – $39,650,185: 0 hospitals$39,650,185 – $199,123,541: 0 hospitals$39,650,185$199,123,541 – $999,999,999: 12 hospitals$199,123,541median $206price bands are equal on a log scale
Hospitals per price band (153 of 161 — the bands cover the 5th to 95th percentile)
FromToHospitals
$98$492138
$492$2,4723
$2,472$12,4120
$12,412$62,3360
$62,336$313,0500
$313,050$1,572,1370
$1,572,137$7,895,2850
$7,895,285$39,650,1850
$39,650,185$199,123,5410
$199,123,541$999,999,99912

By state

The median cash price in each state, against the national median of $206.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $115 across 10 hospitalsIL$115Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $139 across 11 hospitalsMI$139New York: median $999,999,999 across 18 hospitalsNY$999,999,999Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $199 across 10 hospitalsIA$199Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: no hospital in the corpus filed a usable pricePANew Jersey: 7 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: 1 hospital filed a usable price — fewer than 10, so no figureCAUtah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $136 across 11 hospitalsOK$136Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: no hospital in the corpus filed a usable priceFL
Cash price by state, most expensive first. National median $206. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY18$999,999,999+486144771%$184 – $999,999,999
Iowa IA10$199−3%$129 – $265
Michigan MI11$139−33%$119 – $197
Oklahoma OK11$136−34%$136 – $136
Illinois IL10$115−44%$104 – $247
Oregon OR8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
New Jersey NJ7not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
California CA1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
South Dakota SD1not 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 $206.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care92$187$136 – $412
Children’s2fewer than 20 hospitals
Critical access67$210$129 – $291
Ownership
For-profit9fewer than 20 hospitals
Government40$206$140 – $266
Non-profit112$213$136 – $408
System affiliation
Part of a system122$197$119 – $325
Independent39$231$141 – $359

Cash price vs list price

Median list price (chargemaster)$297
Median cash price$206
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

161 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 — counted161
Cash price carrying a plausibility flag — shown on the compare tool, excluded here3
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 — excluded5
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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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, “First doctor home visit, moderate level (CPT 99343) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99343-first-doctor-home-visit-moderate-level