HRHospitalRates.comCompare prices

Procedure price report · Consultation, evaluation, and preventative care

Disability or work-related exam by a non-treating doctor

CPT 99456the billing code this page is about

Covers an examination and report completed for work or disability purposes by a doctor who is not the patient's treating physician.

Hospitals typically charge $169 cash for this outpatient procedure — the median across 320 hospitals that filed a usable cash price; the average of the middle 60% is $214. Most fall between $72 and $529 (20th–80th percentile).

Hospitals
320
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 320 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
$42$78$169$425$700

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($42 vs $700).

How the prices are spread

$25 – $36: 5 hospitals$25$36 – $51: 16 hospitals$51 – $72: 34 hospitals$51$72 – $103: 32 hospitals$103 – $146: 34 hospitals$103$146 – $208: 44 hospitals$208 – $297: 18 hospitals$208$297 – $422: 41 hospitals$422 – $601: 31 hospitals$422$601 – $856: 35 hospitals$601median $169price bands are equal on a log scale
Hospitals per price band (290 of 320 — the bands cover the 5th to 95th percentile)
FromToHospitals
$25$365
$36$5116
$51$7234
$72$10332
$103$14634
$146$20844
$208$29718
$297$42241
$422$60131
$601$85635

By state

The median cash price in each state, against the national median of $169.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $179 across 10 hospitalsWA$179Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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 $735 across 13 hospitalsMN$735Illinois: median $94 across 16 hospitalsIL$94Wisconsin: median $169 across 27 hospitalsWI$169Michigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $161 across 10 hospitalsNY$161Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $299 across 26 hospitalsIA$299Indiana: median $58 across 15 hospitalsIN$58Ohio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $25 across 16 hospitalsPA$25New 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: 7 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $169 across 13 hospitalsMO$169Kentucky: median $58 across 10 hospitalsKY$58West Virginia: 5 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: median $130 across 13 hospitalsTN$130North 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 $648 across 11 hospitalsOK$648Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $78 across 20 hospitalsTX$78Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $169. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN13$735+335%$559 – $735
Oklahoma OK11$648+283%$648 – $648
Iowa IA26$299+77%$299 – $455
Washington WA10$179+6%$109 – $398
Wisconsin WI27$1690%$152 – $844
Missouri MO13$1690%$68 – $340
New York NY10$161−5%$98 – $232
Tennessee TN13$130−23%$37 – $130
Illinois IL16$94−45%$58 – $242
Texas TX20$78−54%$72 – $78
Indiana IN15$58−65%$36 – $171
Kentucky KY10$58−65%$43 – $435
Pennsylvania PA16$25−85%$21 – $324
Nebraska NE9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Montana MT4not 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
Florida FL3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not 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 $169.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care196$169$70 – $496
Children’s3fewer than 20 hospitals
Critical access121$169$75 – $546
Ownership
For-profit23$58$37 – $179
Government65$244$73 – $500
Non-profit232$169$75 – $581
System affiliation
Part of a system252$165$72 – $509
Independent68$202$71 – $557

Cash price vs list price

Median list price (chargemaster)$320
Median cash price$169
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

188 hospitals filed a usable inpatient cash price for this code. The median is $169 and the average of the middle 60% is $192; most fall between $72 and $455.

Cash price percentiles, inpatient, across 188 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
$58$78$169$340$648

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($58 vs $648).

Of the 201 hospitals that filed this code inpatient, 188 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 12 a list price only.

How complete is this

320 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 354 hospitals that filed this code at all gave us
Usable cash price — counted320
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
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 — excluded19
Hospitals that filed this code354

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 PR Occ Hlth Fit for Duty/ MR Review Ea 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, “Disability or work-related exam by a non-treating doctor (CPT 99456) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99456-disability-or-work-related-exam-by-a-non-treating-doctor