HRHospitalRates.comCompare prices

Procedure price report · Consultation, evaluation, and preventative care

Staff chronic care management, each extra 20 minutes

CPT 99439the billing code this page is about

Add-on to monthly chronic condition care coordination by clinical staff under provider direction; one unit equals each additional 20 minutes in the calendar month.

Hospitals typically charge $65 cash for this outpatient procedure — the median across 552 hospitals that filed a usable cash price; the average of the middle 60% is $67. Most fall between $40 and $105 (20th–80th percentile).

Hospitals
552
States
46
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 552 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$44$65$94$127

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($28 vs $127).

How the prices are spread

$21 – $26: 27 hospitals$21$26 – $32: 20 hospitals$32 – $40: 36 hospitals$32$40 – $49: 78 hospitals$49 – $61: 64 hospitals$49$61 – $75: 81 hospitals$75 – $93: 79 hospitals$75$93 – $114: 59 hospitals$114 – $141: 44 hospitals$114$141 – $174: 12 hospitals$141median $65price bands are equal on a log scale
Hospitals per price band (500 of 552 — the bands cover the 5th to 95th percentile)
FromToHospitals
$21$2627
$26$3220
$32$4036
$40$4978
$49$6164
$61$7581
$75$9379
$93$11459
$114$14144
$141$17412

By state

The median cash price in each state, against the national median of $65.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $87 across 19 hospitalsWA$87Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $60 across 15 hospitalsMT$60North Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $79 across 26 hospitalsMN$79Illinois: median $67 across 32 hospitalsIL$67Wisconsin: median $81 across 30 hospitalsWI$81Michigan: median $44 across 33 hospitalsMI$44New York: median $67 across 29 hospitalsNY$67Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $101 across 18 hospitalsOR$101Nevada: 3 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 $87 across 26 hospitalsIA$87Indiana: median $62 across 27 hospitalsIN$62Ohio: median $59 across 13 hospitalsOH$59Pennsylvania: median $25 across 16 hospitalsPA$25New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $107 across 14 hospitalsCA$107Utah: no hospital in the corpus filed a usable priceUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $65 across 17 hospitalsNE$65Missouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $67 across 23 hospitalsWV$67Virginia: median $87 across 16 hospitalsVA$87Maryland: 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: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $65 across 17 hospitalsKS$65Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $64 across 11 hospitalsOK$64Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $33 across 13 hospitalsMS$33Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $46 across 17 hospitalsGA$46Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $70 across 20 hospitalsTX$70Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $65. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA14$107+66%$35 – $216
Oregon OR18$101+56%$73 – $128
Iowa IA26$87+35%$58 – $99
Virginia VA16$87+35%$38 – $91
Washington WA19$87+35%$62 – $105
Wisconsin WI30$81+25%$57 – $116
Minnesota MN26$79+22%$48 – $107
Texas TX20$70+9%$36 – $75
New York NY29$67+5%$22 – $117
Illinois IL32$67+4%$37 – $132
West Virginia WV23$67+3%$53 – $85
Nebraska NE17$65+1%$43 – $104
Kansas KS17$650%$48 – $84
Oklahoma OK11$64−1%$64 – $64
Indiana IN27$62−4%$44 – $88
Montana MT15$60−7%$48 – $80
Ohio OH13$59−9%$41 – $182
Georgia GA17$46−28%$46 – $118
Michigan MI33$44−32%$42 – $73
Mississippi MS13$33−49%$21 – $75
Pennsylvania PA16$25−61%$21 – $67
Maine ME9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Jersey NJ1not 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 $65.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care306$62$38 – $101
Children’s8fewer than 20 hospitals
Critical access238$70$44 – $105
Ownership
For-profit33$46$35 – $97
Government138$69$42 – $107
Non-profit381$64$39 – $101
System affiliation
Part of a system406$64$38 – $99
Independent146$69$42 – $110

Cash price vs list price

Median list price (chargemaster)$101
Median cash price$65
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

299 hospitals filed a usable inpatient cash price for this code. The median is $70 and the average of the middle 60% is $70; most fall between $44 and $107.

Cash price percentiles, inpatient, across 299 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$46$70$98$131

The most expensive tenth of hospitals charges at least 3.9× what the cheapest tenth charges ($34 vs $131).

Of the 316 hospitals that filed this code inpatient, 299 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 14 a list price only.

How complete is this

552 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 581 hospitals that filed this code at all gave us
Usable cash price — counted552
Cash price carrying a plausibility flag — shown on the compare tool, excluded here6
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 — excluded23
Hospitals that filed this code581

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 CHRNC CARE MGMT STAF EA ADDL.

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, “Staff chronic care management, each extra 20 minutes (CPT 99439) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99439-staff-chronic-care-management-each-extra-20-minutes