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Procedure price report · Consultation, evaluation, and preventative care

Quit-smoking counseling, 3 to 10 minutes

CPT 99406the billing code this page is about

A face-to-face counseling session to help a patient stop using tobacco, lasting more than 3 minutes and up to 10 minutes; billed once per session.

Hospitals typically charge $36 cash for this outpatient procedure — the median across 2,549 hospitals that filed a usable cash price; the average of the middle 60% is $38. Most fall between $21 and $65 (20th–80th percentile).

Hospitals
2,549
States
50
Filings dated
Mar 2023 – 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 2,549 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
$14$23$36$57$94

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($14 vs $94).

How the prices are spread

$11 – $14: 117 hospitals$11$14 – $18: 128 hospitals$18 – $23: 265 hospitals$18$23 – $29: 305 hospitals$29 – $37: 377 hospitals$29$37 – $48: 324 hospitals$48 – $61: 323 hospitals$48$61 – $77: 219 hospitals$77 – $98: 124 hospitals$77$98 – $125: 115 hospitals$98median $36price bands are equal on a log scale
Hospitals per price band (2,297 of 2,549 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$14117
$14$18128
$18$23265
$23$29305
$29$37377
$37$48324
$48$61323
$61$77219
$77$98124
$98$125115

Against Medicare

Medicare pays (OPPS 2026, national rate)$38
Median cash price$36
Cash as a multiple of Medicare0.95×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $36.

Alaska: median $50 across 14 hospitalsAK$50Maine: median $25 across 27 hospitalsME$25Vermont: median $26 across 14 hospitalsVT$26New Hampshire: median $23 across 20 hospitalsNH$23Washington: median $32 across 64 hospitalsWA$32Idaho: median $35 across 17 hospitalsID$35Montana: median $22 across 20 hospitalsMT$22North Dakota: median $36 across 20 hospitalsND$36Minnesota: median $31 across 81 hospitalsMN$31Illinois: median $34 across 75 hospitalsIL$34Wisconsin: median $26 across 81 hospitalsWI$26Michigan: median $32 across 92 hospitalsMI$32New York: median $47 across 110 hospitalsNY$47Massachusetts: median $73 across 39 hospitalsMA$73Oregon: median $27 across 48 hospitalsOR$27Nevada: median $40 across 16 hospitalsNV$40Wyoming: median $31 across 12 hospitalsWY$31South Dakota: median $39 across 18 hospitalsSD$39Iowa: median $33 across 71 hospitalsIA$33Indiana: median $27 across 77 hospitalsIN$27Ohio: median $43 across 115 hospitalsOH$43Pennsylvania: median $38 across 103 hospitalsPA$38New Jersey: median $38 across 42 hospitalsNJ$38Connecticut: median $37 across 20 hospitalsCT$37Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $73 across 148 hospitalsCA$73Utah: median $49 across 32 hospitalsUT$49Colorado: median $30 across 49 hospitalsCO$30Nebraska: median $33 across 57 hospitalsNE$33Missouri: median $22 across 54 hospitalsMO$22Kentucky: median $32 across 52 hospitalsKY$32West Virginia: median $37 across 37 hospitalsWV$37Virginia: median $53 across 49 hospitalsVA$53Maryland: median $36 across 27 hospitalsMD$36Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $36 across 30 hospitalsAZ$36New Mexico: median $30 across 23 hospitalsNM$30Kansas: median $25 across 60 hospitalsKS$25Arkansas: median $31 across 33 hospitalsAR$31Tennessee: median $31 across 43 hospitalsTN$31North Carolina: median $25 across 76 hospitalsNC$25South Carolina: median $55 across 43 hospitalsSC$55Oklahoma: median $31 across 52 hospitalsOK$31Louisiana: median $18 across 30 hospitalsLA$18Mississippi: median $29 across 47 hospitalsMS$29Alabama: median $33 across 26 hospitalsAL$33Georgia: median $37 across 81 hospitalsGA$37Hawaii: median $45 across 14 hospitalsHI$45Texas: median $44 across 159 hospitalsTX$44Florida: median $62 across 117 hospitalsFL$62
Cash price by state, most expensive first. National median $36. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA148$73+102%$33 – $106
Massachusetts MA39$73+101%$38 – $126
Florida FL117$62+71%$32 – $123
South Carolina SC43$55+51%$38 – $71
Virginia VA49$53+47%$28 – $72
Alaska AK14$50+38%$37 – $115
Utah UT32$49+35%$45 – $56
New York NY110$47+28%$18 – $84
Hawaii HI14$45+23%$17 – $104
Texas TX159$44+21%$26 – $88
Ohio OH115$43+19%$23 – $65
Nevada NV16$40+10%$29 – $106
South Dakota SD18$39+8%$19 – $42
New Jersey NJ42$38+5%$23 – $103
Pennsylvania PA103$38+4%$28 – $52
Connecticut CT20$37+2%$24 – $85
Georgia GA81$37+2%$22 – $88
West Virginia WV37$370%$19 – $65
Maryland MD27$360%$32 – $69
Arizona AZ30$36−1%$18 – $57
North Dakota ND20$36−1%$19 – $54
Idaho ID17$35−4%$19 – $79
Illinois IL75$34−7%$19 – $65
Alabama AL26$33−9%$21 – $49
Iowa IA71$33−9%$20 – $53
Nebraska NE57$33−9%$24 – $50
Kentucky KY52$32−11%$23 – $54
Washington WA64$32−12%$18 – $51
Michigan MI92$32−12%$21 – $60
Wyoming WY12$31−14%$16 – $37
Arkansas AR33$31−14%$24 – $40
Minnesota MN81$31−15%$24 – $41
Oklahoma OK52$31−16%$12 – $57
Tennessee TN43$31−16%$19 – $69
New Mexico NM23$30−16%$23 – $45
Colorado CO49$30−17%$20 – $67
Mississippi MS47$29−20%$15 – $47
Indiana IN77$27−26%$12 – $47
Oregon OR48$27−26%$19 – $39
Vermont VT14$26−29%$17 – $65
Wisconsin WI81$26−29%$21 – $46
Kansas KS60$25−31%$17 – $39
North Carolina NC76$25−31%$20 – $50
Maine ME27$25−32%$18 – $65
New Hampshire NH20$23−36%$14 – $46
Missouri MO54$22−39%$16 – $49
Montana MT20$22−39%$9 – $41
Louisiana LA30$18−49%$12 – $40
Rhode Island RI9not enough hospitals filed a usable price
Delaware DE5not 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 $36.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,819$40$21 – $73
Children’s17fewer than 20 hospitals
Critical access705$31$19 – $52
Ownership
For-profit313$48$26 – $106
Government449$31$20 – $52
Non-profit1,779$37$20 – $64
System affiliation
Part of a system2,101$38$21 – $69
Independent448$33$20 – $59

Cash price vs list price

Median list price (chargemaster)$64
Median cash price$36
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

1,694 hospitals filed a usable inpatient cash price for this code. The median is $41 and the average of the middle 60% is $41; most fall between $21 and $71.

Cash price percentiles, inpatient, across 1,694 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
$17$24$41$61$96

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($17 vs $96).

Of the 1,800 hospitals that filed this code inpatient, 1,694 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 87 a list price only.

How complete is this

2,549 of the 3,956 hospitals with a price file in our corpus (64%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,685 hospitals that filed this code at all gave us
Usable cash price — counted2,549
Cash price carrying a plausibility flag — shown on the compare tool, excluded here41
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded92
Hospitals that filed this code2,685

Sections not shown for this setting

  • 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 Tobacco Use Cessation Intermediate 3-10 Minutes.

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, “Quit-smoking counseling, 3 to 10 minutes (CPT 99406) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99406-quit-smoking-counseling-3-to-10-minutes