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

Doctor's time arranging a specialist e-consult

CPT 99452the billing code this page is about

Covers the treating doctor's time, about 16 to 30 minutes, preparing information and communicating with a specialist for an opinion given by phone, internet, or the medical record.

Hospitals typically charge $63 cash for this outpatient procedure — the median across 265 hospitals that filed a usable cash price; the average of the middle 60% is $64. Most fall between $35 and $98 (20th–80th percentile).

Hospitals
265
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 265 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$41$63$92$182

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($24 vs $182).

How the prices are spread

$20 – $25: 18 hospitals$20$25 – $32: 4 hospitals$32 – $41: 33 hospitals$32$41 – $52: 35 hospitals$52 – $66: 39 hospitals$52$66 – $84: 35 hospitals$84 – $107: 49 hospitals$84$107 – $136: 6 hospitals$136 – $172: 4 hospitals$136$172 – $219: 17 hospitals$172median $63price bands are equal on a log scale
Hospitals per price band (240 of 265 — the bands cover the 5th to 95th percentile)
FromToHospitals
$20$2518
$25$324
$32$4133
$41$5235
$52$6639
$66$8435
$84$10749
$107$1366
$136$1724
$172$21917

By state

The median cash price in each state, against the national median of $63.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 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: 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 $187 across 16 hospitalsMN$187Illinois: median $66 across 13 hospitalsIL$66Wisconsin: median $98 across 27 hospitalsWI$98Michigan: median $44 across 15 hospitalsMI$44New York: median $57 across 18 hospitalsNY$57Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $63 across 13 hospitalsOR$63Nevada: 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 19 hospitalsIA$66Indiana: median $35 across 10 hospitalsIN$35Ohio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $23 across 10 hospitalsPA$23New Jersey: no hospital in the corpus filed a usable priceNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 6 hospitals filed a usable price — fewer than 10, so no figureCAUtah: 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: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 4 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals 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: 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 $46 across 10 hospitalsOK$46Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $63. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN16$187+196%$68 – $219
Wisconsin WI27$98+56%$73 – $224
Iowa IA19$66+5%$59 – $83
Illinois IL13$66+5%$35 – $87
Oregon OR13$630%$63 – $85
New York NY18$57−10%$33 – $94
Oklahoma OK10$46−28%$46 – $46
Michigan MI15$44−30%$35 – $67
Indiana IN10$35−45%$24 – $35
Pennsylvania PA10$23−64%$19 – $25
Maine ME9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
California CA6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Massachusetts MA3not 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
Arizona AZ2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Vermont VT2not 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
Connecticut CT1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Dakota ND1not 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 $63.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care179$61$35 – $92
Children’s6fewer than 20 hospitals
Critical access79$73$35 – $104
Ownership
For-profit20$35$24 – $56
Government43$67$44 – $102
Non-profit201$65$38 – $98
System affiliation
Part of a system216$62$35 – $98
Independent49$68$41 – $117

Cash price vs list price

Median list price (chargemaster)$98
Median cash price$63
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

156 hospitals filed a usable inpatient cash price for this code. The median is $57 and the average of the middle 60% is $56; most fall between $35 and $90.

Cash price percentiles, inpatient, across 156 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
$33$39$57$84$98

The most expensive tenth of hospitals charges at least 2.9× what the cheapest tenth charges ($33 vs $98).

Of the 161 hospitals that filed this code inpatient, 156 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 3 a list price only.

How complete is this

265 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 281 hospitals that filed this code at all gave us
Usable cash price — counted265
Cash price carrying a plausibility flag — shown on the compare tool, excluded here2
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 — excluded12
Hospitals that filed this code281

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 Referral Svc 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's time arranging a specialist e-consult (CPT 99452) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99452-doctor-s-time-arranging-a-specialist-e-consult