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Procedure price report · Alcohol and drug management, treatment, and rehabilitation

Alcohol or drug use screening and counseling, 15 to 30 min

CPT 99408the billing code this page is about

A structured screening for alcohol or substance misuse with brief counseling, lasting 15 to 30 minutes.

Hospitals typically charge $58 cash for this outpatient procedure — the median across 606 hospitals that filed a usable cash price; the average of the middle 60% is $60. Most fall between $33 and $99 (20th–80th percentile).

Hospitals
606
States
50
Filings dated
Jun 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 606 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
$23$38$58$90$146

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($23 vs $146).

How the prices are spread

$18 – $23: 28 hospitals$18$23 – $29: 28 hospitals$29 – $36: 57 hospitals$29$36 – $46: 83 hospitals$46 – $58: 70 hospitals$46$58 – $73: 98 hospitals$73 – $92: 72 hospitals$73$92 – $117: 57 hospitals$117 – $147: 24 hospitals$117$147 – $186: 29 hospitals$147median $58price bands are equal on a log scale
Hospitals per price band (546 of 606 — the bands cover the 5th to 95th percentile)
FromToHospitals
$18$2328
$23$2928
$29$3657
$36$4683
$46$5870
$58$7398
$73$9272
$92$11757
$117$14724
$147$18629

By state

The median cash price in each state, against the national median of $58.

Alaska: median $98 across 11 hospitalsAK$98Maine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 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 $75 across 28 hospitalsWA$75Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $65 across 10 hospitalsMT$65North Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $130 across 19 hospitalsMN$130Illinois: median $59 across 17 hospitalsIL$59Wisconsin: median $33 across 22 hospitalsWI$33Michigan: median $41 across 30 hospitalsMI$41New York: median $51 across 47 hospitalsNY$51Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $73 across 30 hospitalsOR$73Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $65 across 21 hospitalsIA$65Indiana: median $31 across 35 hospitalsIN$31Ohio: median $54 across 29 hospitalsOH$54Pennsylvania: median $21 across 11 hospitalsPA$21New Jersey: 8 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 4 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 $77 across 67 hospitalsCA$77Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $58 across 21 hospitalsCO$58Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $30 across 10 hospitalsKY$30West Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $53 across 11 hospitalsKS$53Arkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $50 across 25 hospitalsNC$50South Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $65 across 16 hospitalsOK$65Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: 7 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $58. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN19$130+124%$89 – $192
Alaska AK11$98+68%$49 – $112
California CA67$77+32%$56 – $122
Washington WA28$75+29%$58 – $97
Oregon OR30$73+25%$47 – $101
Montana MT10$65+13%$47 – $90
Iowa IA21$65+12%$43 – $65
Oklahoma OK16$65+11%$32 – $65
Illinois IL17$59+1%$30 – $78
Colorado CO21$580%$55 – $161
Ohio OH29$54−7%$38 – $79
Kansas KS11$53−10%$33 – $69
New York NY47$51−12%$29 – $171
North Carolina NC25$50−14%$21 – $85
Michigan MI30$41−29%$22 – $45
Wisconsin WI22$33−43%$33 – $64
Indiana IN35$31−47%$23 – $44
Kentucky KY10$30−48%$22 – $37
Pennsylvania PA11$21−63%$20 – $25
New Mexico NM9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
New Jersey NJ8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Texas TX7not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
West Virginia WV1not 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 $58.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care443$58$32 – $101
Children’s7fewer than 20 hospitals
Critical access156$57$34 – $97
Ownership
For-profit43$45$23 – $118
Government120$73$38 – $98
Non-profit443$58$33 – $101
System affiliation
Part of a system469$56$31 – $98
Independent137$69$40 – $107

Cash price vs list price

Median list price (chargemaster)$95
Median cash price$58
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

402 hospitals filed a usable inpatient cash price for this code. The median is $58 and the average of the middle 60% is $61; most fall between $34 and $97.

Cash price percentiles, inpatient, across 402 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
$30$39$58$88$127

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($30 vs $127).

Of the 416 hospitals that filed this code inpatient, 402 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 14 a list price only.

How complete is this

606 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 634 hospitals that filed this code at all gave us
Usable cash price — counted606
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 — excluded0
A list price only, no cash figure — excluded21
Hospitals that filed this code634

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 Alcohol and drug management, treatment, and rehabilitation family.

Hospitals file this code under descriptions such as Alcohol/Substance Screen & Interven 15-30 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, “Alcohol or drug use screening and counseling, 15 to 30 min (CPT 99408) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99408-alcohol-or-drug-use-screening-and-counseling-15-to-30-min