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Procedure price report · Consultation, evaluation, and preventative care

Health risk counseling, one person, about 45 minutes

CPT 99403the billing code this page is about

A one-on-one counseling session to help prevent illness or reduce health risks in a person without current symptoms; this code covers roughly 45 minutes of face-to-face time.

Hospitals typically charge $134 cash for this outpatient procedure — the median across 669 hospitals that filed a usable cash price; the average of the middle 60% is $141. Most fall between $69 and $226 (20th–80th percentile).

Hospitals
669
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 669 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
$37$81$134$211$274

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($37 vs $274).

How the prices are spread

$28 – $35: 24 hospitals$28$35 – $46: 30 hospitals$46 – $59: 21 hospitals$46$59 – $76: 48 hospitals$76 – $99: 63 hospitals$76$99 – $127: 98 hospitals$127 – $164: 96 hospitals$127$164 – $212: 95 hospitals$212 – $273: 96 hospitals$212$273 – $353: 35 hospitals$273median $134price bands are equal on a log scale
Hospitals per price band (606 of 669 — the bands cover the 5th to 95th percentile)
FromToHospitals
$28$3524
$35$4630
$46$5921
$59$7648
$76$9963
$99$12798
$127$16496
$164$21295
$212$27396
$273$35335

By state

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

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $102 across 16 hospitalsME$102Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $171 across 20 hospitalsWA$171Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $225 across 21 hospitalsMN$225Illinois: median $105 across 22 hospitalsIL$105Wisconsin: median $171 across 42 hospitalsWI$171Michigan: median $106 across 50 hospitalsMI$106New York: median $144 across 55 hospitalsNY$144Massachusetts: median $160 across 16 hospitalsMA$160Oregon: median $155 across 28 hospitalsOR$155Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $160 across 29 hospitalsIA$160Indiana: median $64 across 16 hospitalsIN$64Ohio: median $128 across 67 hospitalsOH$128Pennsylvania: median $76 across 22 hospitalsPA$76New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $91 across 32 hospitalsCA$91Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $158 across 10 hospitalsNE$158Missouri: median $28 across 12 hospitalsMO$28Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $187 across 10 hospitalsWV$187Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 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: median $118 across 12 hospitalsNC$118South Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $93 across 15 hospitalsOK$93Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $37 across 15 hospitalsGA$37Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $142 across 12 hospitalsTX$142Florida: median $150 across 10 hospitalsFL$150
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
Minnesota MN21$225+68%$129 – $262
West Virginia WV10$187+40%$96 – $285
Washington WA20$171+28%$153 – $294
Wisconsin WI42$171+28%$112 – $202
Iowa IA29$160+20%$121 – $176
Massachusetts MA16$160+20%$101 – $235
Nebraska NE10$158+18%$79 – $163
Oregon OR28$155+16%$120 – $203
Florida FL10$150+12%$86 – $380
New York NY55$144+8%$81 – $275
Texas TX12$142+6%$76 – $227
Ohio OH67$128−4%$82 – $219
North Carolina NC12$118−12%$24 – $227
Michigan MI50$106−21%$75 – $202
Illinois IL22$105−21%$88 – $267
Maine ME16$102−23%$34 – $217
Oklahoma OK15$93−30%$47 – $117
California CA32$91−32%$46 – $243
Pennsylvania PA22$76−43%$24 – $257
Indiana IN16$64−52%$49 – $117
Georgia GA15$37−73%$37 – $37
Missouri MO12$28−79%$28 – $128
Colorado CO9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Carolina SC2not 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 $134.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care453$128$64 – $227
Children’s13fewer than 20 hospitals
Critical access199$152$81 – $224
Ownership
For-profit41$94$44 – $236
Government114$122$80 – $211
Non-profit510$144$70 – $226
System affiliation
Part of a system521$129$64 – $226
Independent148$141$82 – $235

Cash price vs list price

Median list price (chargemaster)$206
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.

The same procedure, inpatient

459 hospitals filed a usable inpatient cash price for this code. The median is $134 and the average of the middle 60% is $140; most fall between $69 and $221.

Cash price percentiles, inpatient, across 459 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
$41$82$134$203$274

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($41 vs $274).

Of the 488 hospitals that filed this code inpatient, 459 gave a usable cash price; 4 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

669 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 725 hospitals that filed this code at all gave us
Usable cash price — counted669
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded42
Hospitals that filed this code725

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 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 Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 45 Min.

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, “Health risk counseling, one person, about 45 minutes (CPT 99403) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99403-health-risk-counseling-one-person-about-45-minutes