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

Alcohol or drug use screening and counseling, over 30 min

CPT 99409the billing code this page is about

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

Hospitals typically charge $109 cash for this outpatient procedure — the median across 450 hospitals that filed a usable cash price; the average of the middle 60% is $114. Most fall between $69 and $182 (20th–80th percentile).

Hospitals
450
States
46
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 450 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
$46$76$109$162$248

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($46 vs $248).

How the prices are spread

$30 – $39: 9 hospitals$30$39 – $50: 20 hospitals$50 – $64: 30 hospitals$50$64 – $82: 52 hospitals$82 – $105: 77 hospitals$82$105 – $135: 84 hospitals$135 – $172: 55 hospitals$135$172 – $221: 38 hospitals$221 – $283: 24 hospitals$221$283 – $363: 17 hospitals$283median $109price bands are equal on a log scale
Hospitals per price band (406 of 450 — the bands cover the 5th to 95th percentile)
FromToHospitals
$30$399
$39$5020
$50$6430
$64$8252
$82$10577
$105$13584
$135$17255
$172$22138
$221$28324
$283$36317

By state

The median cash price in each state, against the national median of $109.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $133 across 22 hospitalsWA$133Idaho: no hospital in the corpus filed a usable priceIDMontana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $170 across 10 hospitalsMN$170Illinois: median $113 across 13 hospitalsIL$113Wisconsin: median $128 across 12 hospitalsWI$128Michigan: median $79 across 26 hospitalsMI$79New York: median $108 across 43 hospitalsNY$108Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $119 across 28 hospitalsOR$119Nevada: 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: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $126 across 21 hospitalsIA$126Indiana: median $53 across 32 hospitalsIN$53Ohio: median $101 across 28 hospitalsOH$101Pennsylvania: median $25 across 11 hospitalsPA$25New Jersey: 5 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 $109 across 57 hospitalsCA$109Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $87 across 15 hospitalsCO$87Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 7 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $109. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN10$170+55%$79 – $170
Washington WA22$133+22%$75 – $189
Wisconsin WI12$128+17%$113 – $128
Iowa IA21$126+15%$92 – $126
Oregon OR28$119+9%$101 – $144
Illinois IL13$113+4%$53 – $136
California CA57$1090%$109 – $248
New York NY43$108−1%$66 – $273
Ohio OH28$101−8%$80 – $140
Colorado CO15$87−20%$87 – $160
Michigan MI26$79−28%$56 – $86
Indiana IN32$53−51%$40 – $84
Pennsylvania PA11$25−77%$23 – $48
Montana MT9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
New Jersey NJ5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Virginia VA1not 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 $109.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care327$109$69 – $184
Children’s7fewer than 20 hospitals
Critical access116$115$64 – $176
Ownership
For-profit29$86$45 – $187
Government83$134$73 – $204
Non-profit338$109$70 – $181
System affiliation
Part of a system343$109$69 – $170
Independent107$133$70 – $208

Cash price vs list price

Median list price (chargemaster)$185
Median cash price$109
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

302 hospitals filed a usable inpatient cash price for this code. The median is $109 and the average of the middle 60% is $115; most fall between $73 and $185.

Cash price percentiles, inpatient, across 302 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$82$109$166$244

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($53 vs $244).

Of the 319 hospitals that filed this code inpatient, 302 gave a usable cash price; 1 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 16 a list price only.

How complete is this

450 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 473 hospitals that filed this code at all gave us
Usable cash price — counted450
Cash price carrying a plausibility flag — shown on the compare tool, excluded here1
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 — excluded22
Hospitals that filed this code473

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 & Intervention >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, over 30 min (CPT 99409) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99409-alcohol-or-drug-use-screening-and-counseling-over-30-min