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Procedure price report · Consultation, evaluation, and preventative care

Extended care work without the patient present, first hour

CPT 99358the billing code this page is about

Add-on charge for prolonged work such as record review or coordination done before or after a visit, with no face-to-face contact; this code covers the first hour.

Hospitals typically charge $174 cash for this outpatient procedure — the median across 629 hospitals that filed a usable cash price; the average of the middle 60% is $179. Most fall between $103 and $274 (20th–80th percentile).

Hospitals
629
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 629 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
$66$111$174$251$339

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($66 vs $339).

How the prices are spread

$50 – $63: 30 hospitals$50$63 – $78: 20 hospitals$78 – $98: 42 hospitals$78$98 – $123: 60 hospitals$123 – $154: 80 hospitals$123$154 – $193: 97 hospitals$193 – $242: 98 hospitals$193$242 – $303: 87 hospitals$303 – $379: 36 hospitals$303$379 – $475: 18 hospitals$379median $174price bands are equal on a log scale
Hospitals per price band (568 of 629 — the bands cover the 5th to 95th percentile)
FromToHospitals
$50$6330
$63$7820
$78$9842
$98$12360
$123$15480
$154$19397
$193$24298
$242$30387
$303$37936
$379$47518

By state

The median cash price in each state, against the national median of $174.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $70 across 14 hospitalsME$70Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $132 across 12 hospitalsNH$132Washington: median $215 across 21 hospitalsWA$215Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $150 across 10 hospitalsMT$150North Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $219 across 20 hospitalsMN$219Illinois: median $175 across 24 hospitalsIL$175Wisconsin: median $199 across 50 hospitalsWI$199Michigan: median $204 across 39 hospitalsMI$204New York: median $165 across 41 hospitalsNY$165Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $233 across 19 hospitalsOR$233Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $278 across 10 hospitalsSD$278Iowa: median $234 across 30 hospitalsIA$234Indiana: median $94 across 18 hospitalsIN$94Ohio: median $255 across 21 hospitalsOH$255Pennsylvania: median $42 across 15 hospitalsPA$42New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 5 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 $165 across 42 hospitalsCA$165Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $229 across 12 hospitalsCO$229Nebraska: median $182 across 12 hospitalsNE$182Missouri: median $149 across 24 hospitalsMO$149Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $126 across 15 hospitalsWV$126Virginia: median $133 across 14 hospitalsVA$133Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals 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 $163 across 13 hospitalsKS$163Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $111 across 18 hospitalsSC$111Oklahoma: median $134 across 12 hospitalsOK$134Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $523 across 11 hospitalsGA$523Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 9 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $174. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA11$523+200%$130 – $523
South Dakota SD10$278+59%$134 – $278
Ohio OH21$255+46%$119 – $428
Iowa IA30$234+34%$139 – $234
Oregon OR19$233+34%$163 – $271
Colorado CO12$229+31%$159 – $331
Minnesota MN20$219+26%$164 – $250
Washington WA21$215+23%$181 – $290
Michigan MI39$204+17%$107 – $235
Wisconsin WI50$199+14%$132 – $275
Nebraska NE12$182+4%$164 – $239
Illinois IL24$1750%$109 – $321
California CA42$165−5%$151 – $220
New York NY41$165−5%$96 – $304
Kansas KS13$163−6%$87 – $197
Montana MT10$150−14%$106 – $237
Missouri MO24$149−15%$80 – $238
Oklahoma OK12$134−23%$134 – $134
Virginia VA14$133−24%$72 – $144
New Hampshire NH12$132−24%$72 – $259
West Virginia WV15$126−28%$88 – $251
South Carolina SC18$111−36%$111 – $262
Indiana IN18$94−46%$62 – $205
Maine ME14$70−60%$29 – $326
Pennsylvania PA15$42−76%$24 – $50
Alaska AK9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Texas TX9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
New Jersey NJ1not 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 $174.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care395$165$103 – $259
Children’s18fewer than 20 hospitals
Critical access214$184$94 – $278
Ownership
For-profit31$107$68 – $167
Government141$199$117 – $322
Non-profit455$170$100 – $259
System affiliation
Part of a system460$165$94 – $256
Independent169$187$110 – $329

Cash price vs list price

Median list price (chargemaster)$266
Median cash price$174
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

407 hospitals filed a usable inpatient cash price for this code. The median is $176 and the average of the middle 60% is $180; most fall between $109 and $262.

Cash price percentiles, inpatient, across 407 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
$83$113$176$248$331

The most expensive tenth of hospitals charges at least 4.0× what the cheapest tenth charges ($83 vs $331).

Of the 435 hospitals that filed this code inpatient, 407 gave a usable cash price; 2 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

629 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 697 hospitals that filed this code at all gave us
Usable cash price — counted629
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded10
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded42
Hospitals that filed this code697

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 Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as Prolng E/M Svc Before&/After Dir Pt Care 1st Hr.

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, “Extended care work without the patient present, first hour (CPT 99358) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99358-extended-care-work-without-the-patient-present-first-hour