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Procedure price report · Consultation, evaluation, and preventative care

Disability or work injury exam by the treating doctor

CPT 99455the billing code this page is about

An evaluation by the patient's own doctor to document a work-related or medical disability, including history, exam, assessment of capabilities, and completion of reports.

Hospitals typically charge $120 cash for this outpatient procedure — the median across 467 hospitals that filed a usable cash price; the average of the middle 60% is $133. Most fall between $58 and $235 (20th–80th percentile).

Hospitals
467
States
45
Filings dated
Dec 2023 – 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 467 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
$46$67$120$202$289

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($46 vs $289).

How the prices are spread

$29 – $38: 12 hospitals$29$38 – $50: 27 hospitals$50 – $66: 54 hospitals$50$66 – $87: 32 hospitals$87 – $115: 69 hospitals$87$115 – $151: 70 hospitals$151 – $199: 59 hospitals$151$199 – $262: 65 hospitals$262 – $346: 22 hospitals$262$346 – $455: 11 hospitals$346median $120price bands are equal on a log scale
Hospitals per price band (421 of 467 — the bands cover the 5th to 95th percentile)
FromToHospitals
$29$3812
$38$5027
$50$6654
$66$8732
$87$11569
$115$15170
$151$19959
$199$26265
$262$34622
$346$45511

By state

The median cash price in each state, against the national median of $120.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $86 across 10 hospitalsVT$86New Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $124 across 20 hospitalsWA$124Idaho: median $142 across 11 hospitalsID$142Montana: median $158 across 12 hospitalsMT$158North Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $232 across 19 hospitalsMN$232Illinois: median $104 across 22 hospitalsIL$104Wisconsin: median $235 across 34 hospitalsWI$235Michigan: median $52 across 26 hospitalsMI$52New York: median $115 across 21 hospitalsNY$115Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $176 across 21 hospitalsOR$176Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $104 across 31 hospitalsIA$104Indiana: median $50 across 26 hospitalsIN$50Ohio: median $43 across 11 hospitalsOH$43Pennsylvania: 4 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: no hospital in the corpus filed a usable priceNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $54 across 12 hospitalsCA$54Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $143 across 23 hospitalsNE$143Missouri: median $169 across 12 hospitalsMO$169Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $55 across 16 hospitalsWV$55Virginia: no hospital in the corpus filed a usable priceVAMaryland: 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $120 across 27 hospitalsKS$120Arkansas: 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: 2 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 $138 across 16 hospitalsOK$138Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 9 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $120. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI34$235+96%$152 – $615
Minnesota MN19$232+94%$90 – $256
Oregon OR21$176+47%$113 – $237
Missouri MO12$169+41%$120 – $638
Montana MT12$158+31%$116 – $315
Nebraska NE23$143+19%$100 – $225
Idaho ID11$142+18%$110 – $182
Oklahoma OK16$138+15%$118 – $138
Washington WA20$124+3%$75 – $208
Kansas KS27$1200%$80 – $191
New York NY21$115−4%$98 – $189
Iowa IA31$104−13%$104 – $220
Illinois IL22$104−13%$58 – $192
Vermont VT10$86−28%$65 – $164
West Virginia WV16$55−54%$55 – $138
California CA12$54−55%$31 – $150
Michigan MI26$52−57%$52 – $92
Indiana IN26$50−58%$38 – $72
Ohio OH11$43−65%$16 – $133
Texas TX9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Pennsylvania PA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Utah UT1not 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 $120.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care206$114$52 – $224
Children’s2fewer than 20 hospitals
Critical access258$138$66 – $235
Ownership
For-profit28$58$38 – $143
Government133$129$75 – $231
Non-profit305$124$55 – $235
System affiliation
Part of a system337$114$53 – $235
Independent130$150$80 – $252

Cash price vs list price

Median list price (chargemaster)$161
Median cash price$120
Cash as a share of list, median hospital74%

At the typical hospital, asking for the cash price cuts the list price by about 26%. 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

220 hospitals filed a usable inpatient cash price for this code. The median is $127 and the average of the middle 60% is $137; most fall between $58 and $235.

Cash price percentiles, inpatient, across 220 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
$50$73$127$232$315

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($50 vs $315).

Of the 239 hospitals that filed this code inpatient, 220 gave a usable cash price; 1 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

467 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 505 hospitals that filed this code at all gave us
Usable cash price — counted467
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
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 — excluded22
Hospitals that filed this code505

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 Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as Work Related/Med Dblt Xm Treating Phys.

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, “Disability or work injury exam by the treating doctor (CPT 99455) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99455-disability-or-work-injury-exam-by-the-treating-doctor