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Procedure price report · Consultation, evaluation, and preventative care

Extended nurse or staff time during a visit, first hour

CPT 99415the billing code this page is about

Billed when clinical staff spend an unusually long stretch of face-to-face time with a patient during an office visit under the provider's supervision; this code covers the first hour.

Hospitals typically charge $27 cash for this outpatient procedure — the median across 316 hospitals that filed a usable cash price; the average of the middle 60% is $31. Most fall between $14 and $49 (20th–80th percentile).

Hospitals
316
States
41
Filings dated
Dec 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 316 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
$9$18$27$42$60

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($9 vs $60).

How the prices are spread

$7 – $10: 17 hospitals$7$10 – $13: 27 hospitals$13 – $18: 21 hospitals$13$18 – $25: 51 hospitals$25 – $35: 62 hospitals$25$35 – $48: 57 hospitals$48 – $67: 37 hospitals$48$67 – $92: 7 hospitals$92 – $127: 4 hospitals$92$127 – $175: 3 hospitals$127median $27price bands are equal on a log scale
Hospitals per price band (286 of 316 — the bands cover the 5th to 95th percentile)
FromToHospitals
$7$1017
$10$1327
$13$1821
$18$2551
$25$3562
$35$4857
$48$6737
$67$927
$92$1274
$127$1753

By state

The median cash price in each state, against the national median of $27.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $29 across 11 hospitalsIL$29Wisconsin: median $28 across 30 hospitalsWI$28Michigan: median $22 across 19 hospitalsMI$22New York: median $26 across 20 hospitalsNY$26Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $38 across 13 hospitalsOR$38Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $37 across 15 hospitalsIA$37Indiana: median $8 across 11 hospitalsIN$8Ohio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $49 across 23 hospitalsCA$49Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $25 across 10 hospitalsOK$25Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $11 across 21 hospitalsTX$11Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $27. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA23$49+78%$49 – $49
Oregon OR13$38+38%$25 – $56
Iowa IA15$37+35%$37 – $37
Illinois IL11$29+7%$8 – $40
Wisconsin WI30$28+1%$26 – $41
New York NY20$26−4%$19 – $65
Oklahoma OK10$25−8%$25 – $25
Michigan MI19$22−19%$21 – $31
Texas TX21$11−60%$11 – $17
Indiana IN11$8−72%$6 – $11
Ohio OH9not enough hospitals filed a usable price
Pennsylvania PA9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
Wyoming WY1not 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 $27.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care230$27$14 – $49
Children’s3fewer than 20 hospitals
Critical access82$27$16 – $43
Ownership
For-profit22$8$6 – $24
Government48$29$18 – $57
Non-profit245$30$15 – $49
System affiliation
Part of a system259$27$12 – $49
Independent57$29$19 – $58

Cash price vs list price

Median list price (chargemaster)$43
Median cash price$27
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

236 hospitals filed a usable inpatient cash price for this code. The median is $27 and the average of the middle 60% is $31; most fall between $14 and $49.

Cash price percentiles, inpatient, across 236 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
$11$17$27$42$57

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($11 vs $57).

Of the 238 hospitals that filed this code inpatient, 236 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 2 a list price only.

How complete is this

316 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 333 hospitals that filed this code at all gave us
Usable cash price — counted316
Cash price carrying a plausibility flag — shown on the compare tool, excluded here2
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 — excluded15
Hospitals that filed this code333

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 Prolonged Clinical Staff Svc Office/O/P 1st Hr.

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, “Extended nurse or staff time during a visit, first hour (CPT 99415) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99415-extended-nurse-or-staff-time-during-a-visit-first-hour