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

Review of home monitoring data, each extra 20 minutes

CPT 99458the billing code this page is about

Billed in addition to the first 20 minutes; one unit is each additional 20 minutes of clinician time in a calendar month spent managing data sent from a home monitoring device.

Hospitals typically charge $66 cash for this outpatient procedure — the median across 380 hospitals that filed a usable cash price; the average of the middle 60% is $67. Most fall between $37 and $110 (20th–80th percentile).

Hospitals
380
States
42
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 380 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
$28$43$66$97$147

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($28 vs $147).

How the prices are spread

$21 – $25: 11 hospitals$21$25 – $31: 29 hospitals$31 – $38: 22 hospitals$31$38 – $47: 43 hospitals$47 – $57: 45 hospitals$47$57 – $70: 41 hospitals$70 – $85: 41 hospitals$70$85 – $105: 43 hospitals$105 – $128: 38 hospitals$105$128 – $157: 30 hospitals$128median $66price bands are equal on a log scale
Hospitals per price band (343 of 380 — the bands cover the 5th to 95th percentile)
FromToHospitals
$21$2511
$25$3129
$31$3822
$38$4743
$47$5745
$57$7041
$70$8541
$85$10543
$105$12838
$128$15730

By state

The median cash price in each state, against the national median of $66.

Alaska: 1 hospital 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: 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 $97 across 18 hospitalsMN$97Illinois: median $72 across 18 hospitalsIL$72Wisconsin: median $86 across 27 hospitalsWI$86Michigan: median $47 across 27 hospitalsMI$47New York: median $53 across 20 hospitalsNY$53Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $85 across 15 hospitalsOR$85Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $74 across 23 hospitalsIA$74Indiana: median $43 across 13 hospitalsIN$43Ohio: median $67 across 28 hospitalsOH$67Pennsylvania: median $47 across 21 hospitalsPA$47New 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: median $147 across 24 hospitalsCA$147Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $45 across 11 hospitalsKY$45West 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: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $53 across 10 hospitalsOK$53Louisiana: no hospital in the corpus filed a usable priceLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 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 $69 across 10 hospitalsTX$69Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $66. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$147+123%$147 – $147
Minnesota MN18$97+46%$67 – $114
Wisconsin WI27$86+31%$66 – $116
Oregon OR15$85+28%$72 – $95
Iowa IA23$74+11%$59 – $76
Illinois IL18$72+9%$43 – $137
Texas TX10$69+4%$27 – $126
Ohio OH28$67+1%$47 – $110
Oklahoma OK10$53−20%$53 – $53
New York NY20$53−21%$23 – $216
Michigan MI27$47−29%$47 – $67
Pennsylvania PA21$47−29%$19 – $158
Kentucky KY11$45−32%$43 – $45
Indiana IN13$43−35%$11 – $77
Maine ME10$30−55%$22 – $31
West Virginia WV14$30−55%$30 – $48
Florida FL9not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not 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 $66.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care255$64$36 – $114
Children’s9fewer than 20 hospitals
Critical access115$66$36 – $95
Ownership
For-profit31$43$20 – $65
Government61$59$39 – $90
Non-profit287$67$39 – $116
System affiliation
Part of a system312$66$36 – $110
Independent68$62$39 – $101

Cash price vs list price

Median list price (chargemaster)$98
Median cash price$66
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

258 hospitals filed a usable inpatient cash price for this code. The median is $72 and the average of the middle 60% is $74; most fall between $43 and $116.

Cash price percentiles, inpatient, across 258 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
$30$45$72$110$147

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($30 vs $147).

Of the 269 hospitals that filed this code inpatient, 258 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 11 a list price only.

How complete is this

380 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 402 hospitals that filed this code at all gave us
Usable cash price — counted380
Cash price carrying a plausibility flag — shown on the compare tool, excluded here1
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 — excluded21
Hospitals that filed this code402

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 Ea Addl 20.

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, each extra 20 minutes (CPT 99458) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99458-review-of-home-monitoring-data-each-extra-20-minutes