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Procedure price report · Consultation, evaluation, and preventative care

Extra 15 minutes with the provider at an office visit

CPT 99417the billing code this page is about

Add-on for time beyond what the main office or outpatient visit code covers; one unit equals each additional 15 minutes spent by the physician or other qualified provider.

Hospitals typically charge $57 cash for this outpatient procedure — the median across 984 hospitals that filed a usable cash price; the average of the middle 60% is $59. Most fall between $34 and $97 (20th–80th percentile).

Hospitals
984
States
49
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 984 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
$25$37$57$86$130

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($25 vs $130).

How the prices are spread

$16 – $20: 26 hospitals$16$20 – $26: 34 hospitals$26 – $32: 77 hospitals$26$32 – $41: 90 hospitals$41 – $51: 156 hospitals$41$51 – $65: 149 hospitals$65 – $82: 138 hospitals$65$82 – $103: 94 hospitals$103 – $129: 68 hospitals$103$129 – $163: 56 hospitals$129median $57price bands are equal on a log scale
Hospitals per price band (888 of 984 — the bands cover the 5th to 95th percentile)
FromToHospitals
$16$2026
$20$2634
$26$3277
$32$4190
$41$51156
$51$65149
$65$82138
$82$10394
$103$12968
$129$16356

By state

The median cash price in each state, against the national median of $57.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $46 across 17 hospitalsME$46Vermont: median $61 across 11 hospitalsVT$61New Hampshire: median $35 across 10 hospitalsNH$35Washington: median $63 across 28 hospitalsWA$63Idaho: median $73 across 13 hospitalsID$73Montana: median $48 across 12 hospitalsMT$48North Dakota: median $58 across 11 hospitalsND$58Minnesota: median $64 across 52 hospitalsMN$64Illinois: median $68 across 40 hospitalsIL$68Wisconsin: median $57 across 73 hospitalsWI$57Michigan: median $44 across 42 hospitalsMI$44New York: median $91 across 70 hospitalsNY$91Massachusetts: median $83 across 17 hospitalsMA$83Oregon: median $67 across 33 hospitalsOR$67Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $66 across 15 hospitalsSD$66Iowa: median $62 across 51 hospitalsIA$62Indiana: median $65 across 32 hospitalsIN$65Ohio: median $45 across 41 hospitalsOH$45Pennsylvania: median $26 across 26 hospitalsPA$26New Jersey: 5 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: median $25 across 10 hospitalsCT$25Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $56 across 34 hospitalsCA$56Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $55 across 17 hospitalsCO$55Nebraska: median $53 across 44 hospitalsNE$53Missouri: median $48 across 28 hospitalsMO$48Kentucky: median $41 across 17 hospitalsKY$41West Virginia: median $86 across 23 hospitalsWV$86Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $61 across 18 hospitalsKS$61Arkansas: 5 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 $60 across 11 hospitalsNC$60South Carolina: median $52 across 21 hospitalsSC$52Oklahoma: median $42 across 23 hospitalsOK$42Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $70 across 10 hospitalsAL$70Georgia: median $130 across 12 hospitalsGA$130Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $41 across 19 hospitalsTX$41Florida: median $66 across 17 hospitalsFL$66
Cash price by state, most expensive first. National median $57. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA12$130+128%$43 – $130
New York NY70$91+60%$42 – $117
West Virginia WV23$86+51%$48 – $125
Massachusetts MA17$83+46%$63 – $120
Idaho ID13$73+28%$33 – $97
Alabama AL10$70+23%$38 – $355
Illinois IL40$68+18%$46 – $155
Oregon OR33$67+18%$40 – $88
South Dakota SD15$66+16%$38 – $80
Florida FL17$66+15%$61 – $174
Indiana IN32$65+13%$42 – $100
Minnesota MN52$64+12%$51 – $105
Washington WA28$63+10%$45 – $86
Iowa IA51$62+8%$42 – $79
Vermont VT11$61+7%$46 – $74
Kansas KS18$61+7%$35 – $87
North Carolina NC11$60+5%$31 – $79
North Dakota ND11$58+1%$31 – $72
Wisconsin WI73$570%$37 – $72
California CA34$56−2%$20 – $146
Colorado CO17$55−4%$44 – $90
Nebraska NE44$53−7%$38 – $79
South Carolina SC21$52−9%$28 – $137
Montana MT12$48−15%$45 – $83
Missouri MO28$48−17%$32 – $70
Maine ME17$46−19%$22 – $72
Ohio OH41$45−21%$38 – $66
Michigan MI42$44−23%$32 – $57
Oklahoma OK23$42−27%$28 – $46
Texas TX19$41−28%$24 – $101
Kentucky KY17$41−29%$29 – $48
New Hampshire NH10$35−39%$34 – $46
Pennsylvania PA26$26−54%$20 – $63
Connecticut CT10$25−56%$25 – $74
Alaska AK9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
New Jersey NJ5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Utah UT1not 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 $57.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care575$56$32 – $94
Children’s29$69$31 – $110
Critical access377$57$35 – $94
Ownership
For-profit45$46$33 – $73
Government209$60$38 – $94
Non-profit727$56$32 – $97
System affiliation
Part of a system750$56$33 – $93
Independent234$61$35 – $100

Cash price vs list price

Median list price (chargemaster)$83
Median cash price$57
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

591 hospitals filed a usable inpatient cash price for this code. The median is $57 and the average of the middle 60% is $59; most fall between $36 and $97.

Cash price percentiles, inpatient, across 591 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
$28$40$57$83$134

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($28 vs $134).

Of the 635 hospitals that filed this code inpatient, 591 gave a usable cash price; 3 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 41 a list price only.

How complete is this

984 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,057 hospitals that filed this code at all gave us
Usable cash price — counted984
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
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 — excluded52
Hospitals that filed this code1,057

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 Outpatient E/M Service Each 15 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, “Extra 15 minutes with the provider at an office visit (CPT 99417) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99417-extra-15-minutes-with-the-provider-at-an-office-visit