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

Specialist e-consult with written report, 5 min or more

CPT 99451the billing code this page is about

Covers a specialist reviewing a patient's information at another doctor's request and sending back a written opinion, using phone, internet, or the medical record, with at least 5 minutes of review time.

Hospitals typically charge $62 cash for this outpatient procedure — the median across 325 hospitals that filed a usable cash price; the average of the middle 60% is $63. Most fall between $35 and $94 (20th–80th percentile).

Hospitals
325
States
43
Filings dated
Nov 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 325 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
$24$43$62$88$102

The most expensive tenth of hospitals charges at least 4.3× what the cheapest tenth charges ($24 vs $102).

How the prices are spread

$20 – $24: 20 hospitals$20$24 – $29: 6 hospitals$29 – $36: 23 hospitals$29$36 – $43: 18 hospitals$43 – $53: 46 hospitals$43$53 – $64: 37 hospitals$64 – $78: 38 hospitals$64$78 – $94: 61 hospitals$94 – $115: 37 hospitals$94$115 – $139: 7 hospitals$115median $62price bands are equal on a log scale
Hospitals per price band (293 of 325 — the bands cover the 5th to 95th percentile)
FromToHospitals
$20$2420
$24$296
$29$3623
$36$4318
$43$5346
$53$6437
$64$7838
$78$9461
$94$11537
$115$1397

By state

The median cash price in each state, against the national median of $62.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $34 across 10 hospitalsME$34Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 4 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 $91 across 19 hospitalsMN$91Illinois: median $66 across 14 hospitalsIL$66Wisconsin: median $96 across 27 hospitalsWI$96Michigan: median $44 across 29 hospitalsMI$44New York: median $57 across 22 hospitalsNY$57Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $85 across 13 hospitalsOR$85Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $66 across 18 hospitalsIA$66Indiana: median $35 across 13 hospitalsIN$35Ohio: median $81 across 12 hospitalsOH$81Pennsylvania: median $22 across 10 hospitalsPA$22New Jersey: no hospital in the corpus filed a usable priceNJConnecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $55 across 17 hospitalsCA$55Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $53 across 11 hospitalsMO$53Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 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: 3 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 $48 across 10 hospitalsOK$48Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 4 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 $62. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI27$96+54%$78 – $98
Minnesota MN19$91+46%$68 – $94
Oregon OR13$85+36%$62 – $85
Ohio OH12$81+30%$54 – $182
Iowa IA18$66+6%$66 – $90
Illinois IL14$66+6%$35 – $87
New York NY22$57−9%$33 – $85
California CA17$55−11%$18 – $87
Missouri MO11$53−16%$30 – $58
Oklahoma OK10$48−23%$48 – $48
Michigan MI29$44−30%$36 – $54
Indiana IN13$35−44%$24 – $69
Maine ME10$34−45%$21 – $62
Pennsylvania PA10$22−65%$18 – $25
Florida FL7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Rhode Island RI1not 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 $62.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care234$60$35 – $87
Children’s8fewer than 20 hospitals
Critical access81$78$44 – $98
Ownership
For-profit20$35$24 – $48
Government49$68$44 – $102
Non-profit254$65$39 – $94
System affiliation
Part of a system261$62$35 – $92
Independent64$63$39 – $111

Cash price vs list price

Median list price (chargemaster)$96
Median cash price$62
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

211 hospitals filed a usable inpatient cash price for this code. The median is $66 and the average of the middle 60% is $66; most fall between $40 and $94.

Cash price percentiles, inpatient, across 211 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$66$91$98

The most expensive tenth of hospitals charges at least 2.9× what the cheapest tenth charges ($34 vs $98).

Of the 218 hospitals that filed this code inpatient, 211 gave a usable cash price; 0 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

325 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 — counted325
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
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 — excluded14
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/> 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, “Specialist e-consult with written report, 5 min or more (CPT 99451) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99451-specialist-e-consult-with-written-report-5-min-or-more