HRHospitalRates.comCompare prices

Procedure price report

Extra face-to-face visit time in clinic, first hour

CPT 99354the billing code this page is about

Add-on charge for extended direct contact with the patient during an office or outpatient visit, beyond the time normally included; this code covers the first hour of extra time.

Hospitals typically charge $179 cash for this outpatient procedure — the median across 252 hospitals that filed a usable cash price; the average of the middle 60% is $166. Most fall between $98 and $259 (20th–80th percentile).

Hospitals
252
States
45
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 252 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
$55$103$179$221$419

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($55 vs $419).

How the prices are spread

$28 – $37: 5 hospitals$28$37 – $51: 6 hospitals$51 – $68: 13 hospitals$51$68 – $92: 12 hospitals$92 – $124: 31 hospitals$92$124 – $168: 38 hospitals$168 – $227: 75 hospitals$168$227 – $307: 23 hospitals$307 – $414: 10 hospitals$307$414 – $559: 15 hospitals$414median $179price bands are equal on a log scale
Hospitals per price band (228 of 252 — the bands cover the 5th to 95th percentile)
FromToHospitals
$28$375
$37$516
$51$6813
$68$9212
$92$12431
$124$16838
$168$22775
$227$30723
$307$41410
$414$55915

By state

The median cash price in each state, against the national median of $179.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $205 across 15 hospitalsIL$205Wisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $113 across 16 hospitalsMI$113New York: median $194 across 13 hospitalsNY$194Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $214 across 10 hospitalsOR$214Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 7 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $100 across 12 hospitalsIN$100Ohio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $78 across 12 hospitalsPA$78New 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: 2 hospitals filed a usable price — fewer than 10, so no figureCAUtah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $703 across 10 hospitalsAZ$703New Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 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 $127 across 11 hospitalsOK$127Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $494 across 10 hospitalsGA$494Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $179 across 33 hospitalsTX$179Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $179. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ10$703+294%$127 – $703
Georgia GA10$494+177%$150 – $494
Oregon OR10$214+20%$117 – $298
Illinois IL15$205+15%$100 – $370
New York NY13$194+8%$62 – $409
Texas TX33$1790%$179 – $179
Oklahoma OK11$127−29%$127 – $127
Michigan MI16$113−37%$108 – $192
Indiana IN12$100−44%$35 – $107
Pennsylvania PA12$78−56%$64 – $91
Wisconsin WI9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Iowa IA7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
California CA2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Virginia VA1not 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 $179.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care156$179$100 – $218
Children’s8fewer than 20 hospitals
Critical access87$179$91 – $259
Ownership
For-profit27$179$68 – $260
Government52$189$131 – $267
Non-profit172$179$88 – $240
System affiliation
Part of a system188$179$88 – $247
Independent64$180$115 – $279

Cash price vs list price

Median list price (chargemaster)$285
Median cash price$179
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

190 hospitals filed a usable inpatient cash price for this code. The median is $179 and the average of the middle 60% is $161; most fall between $91 and $258.

Cash price percentiles, inpatient, across 190 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
$51$100$179$214$494

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($51 vs $494).

Of the 208 hospitals that filed this code inpatient, 190 gave a usable cash price; 0 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

252 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 276 hospitals that filed this code at all gave us
Usable cash price — counted252
Cash price carrying a plausibility flag — shown on the compare tool, excluded here5
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 — excluded19
Hospitals that filed this code276

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 PROLNG SVC O/P 1ST HOUR.

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, “Extra face-to-face visit time in clinic, first hour (CPT 99354) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99354-extra-face-to-face-visit-time-in-clinic-first-hour