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Procedure price report · Consultation, evaluation, and preventative care

Extra 15 minutes with the provider in hospital care

CPT 99418the billing code this page is about

Add-on for provider time beyond the main inpatient or observation visit code; one unit equals each additional 15 minutes.

Hospitals typically charge $70 cash for this outpatient procedure — the median across 522 hospitals that filed a usable cash price; the average of the middle 60% is $73. Most fall between $42 and $114 (20th–80th percentile).

Hospitals
522
States
45
Filings dated
Jan 2024 – 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 522 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
$34$47$70$100$142

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($34 vs $142).

How the prices are spread

$25 – $31: 18 hospitals$25$31 – $38: 25 hospitals$38 – $46: 61 hospitals$38$46 – $57: 45 hospitals$57 – $70: 83 hospitals$57$70 – $85: 91 hospitals$85 – $104: 49 hospitals$85$104 – $127: 56 hospitals$127 – $156: 22 hospitals$127$156 – $191: 21 hospitals$156median $70price bands are equal on a log scale
Hospitals per price band (471 of 522 — the bands cover the 5th to 95th percentile)
FromToHospitals
$25$3118
$31$3825
$38$4661
$46$5745
$57$7083
$70$8591
$85$10449
$104$12756
$127$15622
$156$19121

By state

The median cash price in each state, against the national median of $70.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $64 across 14 hospitalsME$64Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $47 across 12 hospitalsNH$47Washington: median $75 across 16 hospitalsWA$75Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $56 across 10 hospitalsMT$56North Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $88 across 42 hospitalsMN$88Illinois: median $61 across 21 hospitalsIL$61Wisconsin: median $114 across 40 hospitalsWI$114Michigan: median $44 across 34 hospitalsMI$44New York: median $58 across 28 hospitalsNY$58Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $71 across 27 hospitalsOR$71Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 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 $74 across 41 hospitalsIA$74Indiana: median $60 across 11 hospitalsIN$60Ohio: median $91 across 17 hospitalsOH$91Pennsylvania: median $26 across 15 hospitalsPA$26New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $75 across 15 hospitalsCA$75Utah: no hospital in the corpus filed a usable priceUTColorado: median $75 across 13 hospitalsCO$75Nebraska: median $74 across 16 hospitalsNE$74Missouri: median $48 across 10 hospitalsMO$48Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 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: 4 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: 6 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $70. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI40$114+63%$78 – $124
Ohio OH17$91+29%$46 – $231
Minnesota MN42$88+25%$65 – $115
Colorado CO13$75+7%$40 – $119
Washington WA16$75+7%$60 – $178
California CA15$75+7%$27 – $119
Iowa IA41$74+6%$61 – $91
Nebraska NE16$74+6%$55 – $79
Oregon OR27$71+1%$60 – $104
Maine ME14$64−9%$49 – $70
Illinois IL21$61−13%$52 – $97
Indiana IN11$60−14%$45 – $70
New York NY28$58−17%$49 – $85
Montana MT10$56−20%$46 – $69
Missouri MO10$48−31%$42 – $110
New Hampshire NH12$47−34%$43 – $77
Michigan MI34$44−37%$40 – $65
Pennsylvania PA15$26−62%$22 – $55
Florida FL9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Texas TX6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Tennessee TN2not 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 $70.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care288$68$40 – $111
Children’s15fewer than 20 hospitals
Critical access217$72$45 – $114
Ownership
For-profit21$65$60 – $104
Government120$70$52 – $124
Non-profit379$69$40 – $114
System affiliation
Part of a system387$67$40 – $111
Independent135$78$52 – $125

Cash price vs list price

Median list price (chargemaster)$100
Median cash price$70
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

329 hospitals filed a usable inpatient cash price for this code. The median is $71 and the average of the middle 60% is $77; most fall between $47 and $114.

Cash price percentiles, inpatient, across 329 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
$36$54$71$103$126

The most expensive tenth of hospitals charges at least 3.5× what the cheapest tenth charges ($36 vs $126).

Of the 365 hospitals that filed this code inpatient, 329 gave a usable cash price; 12 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

522 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 578 hospitals that filed this code at all gave us
Usable cash price — counted522
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded35
Hospitals that filed this code578

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 Inpatient/Observation Em Svc Ea 15 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, “Extra 15 minutes with the provider in hospital care (CPT 99418) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99418-extra-15-minutes-with-the-provider-in-hospital-care