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Procedure price report · Consultation, evaluation, and preventative care

Health risk counseling, one person, about 60 minutes

CPT 99404the 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 60 minutes of face-to-face time.

Hospitals typically charge $175 cash for this outpatient procedure — the median across 658 hospitals that filed a usable cash price; the average of the middle 60% is $181. Most fall between $87 and $297 (20th–80th percentile).

Hospitals
658
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 658 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
$53$101$175$279$384

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($53 vs $384).

How the prices are spread

$37 – $48: 29 hospitals$37$48 – $63: 34 hospitals$63 – $83: 33 hospitals$63$83 – $109: 57 hospitals$109 – $144: 80 hospitals$109$144 – $189: 89 hospitals$189 – $248: 86 hospitals$189$248 – $325: 117 hospitals$325 – $427: 46 hospitals$325$427 – $561: 32 hospitals$427median $175price bands are equal on a log scale
Hospitals per price band (603 of 658 — the bands cover the 5th to 95th percentile)
FromToHospitals
$37$4829
$48$6334
$63$8333
$83$10957
$109$14480
$144$18989
$189$24886
$248$325117
$325$42746
$427$56132

By state

The median cash price in each state, against the national median of $175.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $154 across 16 hospitalsME$154Vermont: 7 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 $225 across 20 hospitalsWA$225Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $138 across 22 hospitalsIL$138Wisconsin: median $213 across 38 hospitalsWI$213Michigan: median $155 across 33 hospitalsMI$155New York: median $223 across 50 hospitalsNY$223Massachusetts: median $209 across 12 hospitalsMA$209Oregon: median $205 across 26 hospitalsOR$205Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $205 across 27 hospitalsIA$205Indiana: median $87 across 20 hospitalsIN$87Ohio: median $173 across 53 hospitalsOH$173Pennsylvania: median $130 across 25 hospitalsPA$130New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $123 across 34 hospitalsCA$123Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $265 across 13 hospitalsCO$265Nebraska: median $203 across 10 hospitalsNE$203Missouri: median $114 across 13 hospitalsMO$114Kentucky: median $561 across 11 hospitalsKY$561West Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 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: median $108 across 14 hospitalsKS$108Arkansas: 4 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 $170 across 10 hospitalsNC$170South Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $120 across 15 hospitalsOK$120Louisiana: 9 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 $56 across 20 hospitalsGA$56Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $194 across 14 hospitalsTX$194Florida: median $103 across 14 hospitalsFL$103
Cash price by state, most expensive first. National median $175. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY11$561+221%$102 – $561
Colorado CO13$265+51%$110 – $456
Washington WA20$225+29%$200 – $322
New York NY50$223+27%$91 – $382
Wisconsin WI38$213+22%$145 – $374
Massachusetts MA12$209+19%$173 – $361
Iowa IA27$205+17%$157 – $286
Oregon OR26$205+17%$173 – $274
Nebraska NE10$203+16%$92 – $215
Texas TX14$194+11%$76 – $299
Ohio OH53$173−1%$105 – $291
North Carolina NC10$170−3%$108 – $291
Michigan MI33$155−11%$98 – $249
Maine ME16$154−12%$53 – $291
Illinois IL22$138−21%$111 – $333
Pennsylvania PA25$130−25%$23 – $174
California CA34$123−30%$61 – $583
Oklahoma OK15$120−32%$59 – $149
Missouri MO13$114−35%$37 – $216
Kansas KS14$108−39%$81 – $171
Florida FL14$103−41%$31 – $347
Indiana IN20$87−50%$59 – $225
Georgia GA20$56−68%$44 – $589
Alaska AK9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
Minnesota MN9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not 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
North Dakota ND4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Utah UT2not 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 $175.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care456$160$79 – $297
Children’s14fewer than 20 hospitals
Critical access184$203$94 – $295
Ownership
For-profit42$96$56 – $324
Government122$171$94 – $286
Non-profit490$176$87 – $300
System affiliation
Part of a system508$173$78 – $297
Independent150$184$110 – $295

Cash price vs list price

Median list price (chargemaster)$256
Median cash price$175
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

470 hospitals filed a usable inpatient cash price for this code. The median is $168 and the average of the middle 60% is $178; most fall between $87 and $291.

Cash price percentiles, inpatient, across 470 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
$56$103$168$279$374

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($56 vs $374).

Of the 501 hospitals that filed this code inpatient, 470 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 27 a list price only.

How complete is this

658 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 715 hospitals that filed this code at all gave us
Usable cash price — counted658
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 — excluded46
Hospitals that filed this code715

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 60 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 60 minutes (CPT 99404) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99404-health-risk-counseling-one-person-about-60-minutes