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

Review of home monitoring data, first 20 minutes a month

CPT 99457the billing code this page is about

Covers staff or clinician time spent reviewing transmitted home health readings and contacting the patient about them; one unit is the first 20 minutes in a calendar month.

Hospitals typically charge $68 cash for this outpatient procedure — the median across 410 hospitals that filed a usable cash price; the average of the middle 60% is $73. Most fall between $41 and $123 (20th–80th percentile).

Hospitals
410
States
45
Filings dated
Jan 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 410 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
$29$45$68$108$140

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($29 vs $140).

How the prices are spread

$22 – $27: 13 hospitals$22$27 – $33: 27 hospitals$33 – $41: 21 hospitals$33$41 – $50: 46 hospitals$50 – $62: 56 hospitals$50$62 – $76: 45 hospitals$76 – $94: 47 hospitals$76$94 – $116: 43 hospitals$116 – $143: 54 hospitals$116$143 – $176: 18 hospitals$143median $68price bands are equal on a log scale
Hospitals per price band (370 of 410 — the bands cover the 5th to 95th percentile)
FromToHospitals
$22$2713
$27$3327
$33$4121
$41$5046
$50$6256
$62$7645
$76$9447
$94$11643
$116$14354
$143$17618

By state

The median cash price in each state, against the national median of $68.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $30 across 10 hospitalsME$30Vermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $125 across 19 hospitalsMN$125Illinois: median $76 across 22 hospitalsIL$76Wisconsin: median $107 across 28 hospitalsWI$107Michigan: median $57 across 31 hospitalsMI$57New York: median $44 across 21 hospitalsNY$44Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $90 across 15 hospitalsOR$90Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $90 across 24 hospitalsIA$90Indiana: median $50 across 14 hospitalsIN$50Ohio: median $59 across 41 hospitalsOH$59Pennsylvania: median $48 across 21 hospitalsPA$48New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: 7 hospitals filed a usable price — fewer than 10, so no figureCAUtah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $55 across 11 hospitalsKY$55West Virginia: median $30 across 14 hospitalsWV$30Virginia: 7 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: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 7 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 $41 across 11 hospitalsOK$41Louisiana: no hospital in the corpus filed a usable priceLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $104 across 11 hospitalsTX$104Florida: median $32 across 10 hospitalsFL$32
Cash price by state, most expensive first. National median $68. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN19$125+84%$73 – $136
Wisconsin WI28$107+59%$66 – $139
Texas TX11$104+53%$36 – $126
Iowa IA24$90+34%$72 – $110
Oregon OR15$90+33%$85 – $116
Illinois IL22$76+12%$50 – $137
Ohio OH41$59−12%$47 – $135
Michigan MI31$57−16%$57 – $101
Kentucky KY11$55−19%$50 – $55
Indiana IN14$50−25%$13 – $115
Pennsylvania PA21$48−29%$19 – $211
New York NY21$44−35%$22 – $206
Oklahoma OK11$41−39%$41 – $41
Florida FL10$32−52%$29 – $159
Maine ME10$30−56%$22 – $42
West Virginia WV14$30−56%$30 – $55
Missouri MO9not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Vermont VT1not 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 $68.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care272$64$39 – $122
Children’s11fewer than 20 hospitals
Critical access125$75$42 – $116
Ownership
For-profit35$50$24 – $99
Government70$73$41 – $123
Non-profit303$70$41 – $126
System affiliation
Part of a system328$66$39 – $122
Independent82$69$46 – $128

Cash price vs list price

Median list price (chargemaster)$113
Median cash price$68
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

275 hospitals filed a usable inpatient cash price for this code. The median is $80 and the average of the middle 60% is $82; most fall between $45 and $135.

Cash price percentiles, inpatient, across 275 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$47$80$116$139

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($33 vs $139).

Of the 288 hospitals that filed this code inpatient, 275 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 13 a list price only.

How complete is this

410 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 434 hospitals that filed this code at all gave us
Usable cash price — counted410
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) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded22
Hospitals that filed this code434

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 Rpm Tx Mgmt 1 R-T Ia Comunicaj Cal Mo 1st 20 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, “Review of home monitoring data, first 20 minutes a month (CPT 99457) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99457-review-of-home-monitoring-data-first-20-minutes-a-month