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

Doctor-to-doctor phone or online consult, 21 to 30 minutes

CPT 99448the 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 21 to 30 minutes of that discussion and review.

Hospitals typically charge $98 cash for this outpatient procedure — the median across 315 hospitals that filed a usable cash price; the average of the middle 60% is $103. Most fall between $58 and $168 (20th–80th percentile).

Hospitals
315
States
44
Filings dated
Sep 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 315 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
$45$68$98$141$230

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($45 vs $230).

How the prices are spread

$35 – $43: 15 hospitals$35$43 – $53: 22 hospitals$53 – $65: 20 hospitals$53$65 – $79: 48 hospitals$79 – $97: 30 hospitals$79$97 – $120: 38 hospitals$120 – $147: 52 hospitals$120$147 – $181: 31 hospitals$181 – $222: 5 hospitals$181$222 – $273: 25 hospitals$222median $98price bands are equal on a log scale
Hospitals per price band (286 of 315 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$4315
$43$5322
$53$6520
$65$7948
$79$9730
$97$12038
$120$14752
$147$18131
$181$2225
$222$27325

By state

The median cash price in each state, against the national median of $98.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $143 across 21 hospitalsMN$143Illinois: median $95 across 13 hospitalsIL$95Wisconsin: median $172 across 26 hospitalsWI$172Michigan: median $76 across 15 hospitalsMI$76New York: median $135 across 24 hospitalsNY$135Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $126 across 17 hospitalsOR$126Nevada: 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 $98 across 18 hospitalsIA$98Indiana: median $45 across 10 hospitalsIN$45Ohio: median $99 across 13 hospitalsOH$99Pennsylvania: median $34 across 11 hospitalsPA$34New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $86 across 15 hospitalsCA$86Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $58 across 10 hospitalsMO$58Kentucky: 3 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: 2 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 $74 across 10 hospitalsOK$74Louisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 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: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $98. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI26$172+76%$117 – $273
Minnesota MN21$143+47%$126 – $267
New York NY24$135+39%$60 – $150
Oregon OR17$126+29%$97 – $134
Ohio OH13$99+1%$47 – $273
Iowa IA18$980%$78 – $98
Illinois IL13$95−3%$45 – $129
California CA15$86−12%$26 – $133
Michigan MI15$76−22%$68 – $109
Oklahoma OK10$74−25%$74 – $74
Missouri MO10$58−41%$58 – $78
Indiana IN10$45−54%$35 – $45
Pennsylvania PA11$34−65%$33 – $40
Maine ME8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not 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
Idaho ID2not enough hospitals filed a usable price
Kansas KS2not 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
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 $98.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care233$97$55 – $144
Children’s6fewer than 20 hospitals
Critical access76$118$74 – $177
Ownership
For-profit23$66$35 – $124
Government53$94$61 – $144
Non-profit239$101$60 – $172
System affiliation
Part of a system251$98$58 – $172
Independent64$109$59 – $163

Cash price vs list price

Median list price (chargemaster)$149
Median cash price$98
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

198 hospitals filed a usable inpatient cash price for this code. The median is $98 and the average of the middle 60% is $101; most fall between $65 and $149.

Cash price percentiles, inpatient, across 198 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
$45$74$98$138$172

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($45 vs $172).

Of the 213 hospitals that filed this code inpatient, 198 gave a usable cash price; 0 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

315 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 332 hospitals that filed this code at all gave us
Usable cash price — counted315
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) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded9
Hospitals that filed this code332

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 21-30 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, 21 to 30 minutes (CPT 99448) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99448-doctor-to-doctor-phone-or-online-consult-21-to-30-minutes