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Procedure price report · Telehealth (includes telephone calls, online communication, remote monitoring and surveillance)

Doctor-to-doctor phone or online consult, 5 to 10 minutes

CPT 99446the billing code this page is about

A specialist reviews a patient's records and discusses the case with the treating doctor by phone, internet, or electronic health record; this code covers 5 to 10 minutes of that discussion and review.

Hospitals typically charge $33 cash for this outpatient procedure — the median across 331 hospitals that filed a usable cash price; the average of the middle 60% is $37. Most fall between $22 and $58 (20th–80th percentile).

Hospitals
331
States
46
Filings dated
Sep 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 331 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
$15$23$33$51$94

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($15 vs $94).

How the prices are spread

$12 – $15: 13 hospitals$12$15 – $19: 27 hospitals$19 – $23: 29 hospitals$19$23 – $29: 48 hospitals$29 – $36: 48 hospitals$29$36 – $45: 52 hospitals$45 – $56: 29 hospitals$45$56 – $70: 29 hospitals$70 – $88: 10 hospitals$70$88 – $110: 21 hospitals$88median $33price bands are equal on a log scale
Hospitals per price band (306 of 331 — the bands cover the 5th to 95th percentile)
FromToHospitals
$12$1513
$15$1927
$19$2329
$23$2948
$29$3648
$36$4552
$45$5629
$56$7029
$70$8810
$88$11021

By state

The median cash price in each state, against the national median of $33.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $47 across 22 hospitalsMN$47Illinois: median $33 across 14 hospitalsIL$33Wisconsin: median $58 across 27 hospitalsWI$58Michigan: median $23 across 22 hospitalsMI$23New York: median $43 across 22 hospitalsNY$43Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $42 across 16 hospitalsOR$42Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $33 across 16 hospitalsIA$33Indiana: median $15 across 10 hospitalsIN$15Ohio: median $40 across 12 hospitalsOH$40Pennsylvania: median $12 across 11 hospitalsPA$12New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $39 across 18 hospitalsCA$39Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 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: no hospital in the corpus filed a usable priceLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: 6 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $33. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI27$58+76%$39 – $113
Minnesota MN22$47+43%$38 – $110
New York NY22$43+31%$21 – $50
Oregon OR16$42+29%$33 – $45
Ohio OH12$40+21%$27 – $100
California CA18$39+19%$27 – $75
Iowa IA16$330%$33 – $33
Illinois IL14$330%$15 – $51
Oklahoma OK10$25−25%$25 – $25
Michigan MI22$23−29%$18 – $36
Indiana IN10$15−53%$12 – $15
Pennsylvania PA11$12−65%$11 – $14
Florida FL7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Texas TX6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
New Mexico NM1not 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 $33.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care235$33$20 – $50
Children’s6fewer than 20 hospitals
Critical access90$42$25 – $63
Ownership
For-profit24$22$13 – $40
Government62$34$20 – $57
Non-profit245$36$23 – $58
System affiliation
Part of a system258$33$21 – $58
Independent73$38$23 – $55

Cash price vs list price

Median list price (chargemaster)$50
Median cash price$33
Cash as a share of list, median hospital67%

At the typical hospital, asking for the cash price cuts the list price by about 33%. 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

210 hospitals filed a usable inpatient cash price for this code. The median is $33 and the average of the middle 60% is $34; most fall between $22 and $51.

Cash price percentiles, inpatient, across 210 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
$17$24$33$46$58

The most expensive tenth of hospitals charges at least 3.5× what the cheapest tenth charges ($17 vs $58).

Of the 223 hospitals that filed this code inpatient, 210 gave a usable cash price; 1 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

331 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 349 hospitals that filed this code at all gave us
Usable cash price — counted331
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded9
Hospitals that filed this code349

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 Telehealth (includes telephone calls, online communication, remote monitoring and surveillance) family.

Hospitals file this code under descriptions such as Ntrprof Phone/Ntrnet/Ehr Assmt&Mgmt 5-10 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, “Doctor-to-doctor phone or online consult, 5 to 10 minutes (CPT 99446) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99446-doctor-to-doctor-phone-or-online-consult-5-to-10-minutes