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Procedure price report · Consultation, evaluation, and preventative care

Added charge for a pelvic examination

CPT 99459the billing code this page is about

An add-on charge reported with an office or outpatient visit when a pelvic examination is performed, covering the extra supplies and chaperone time involved.

Hospitals typically charge $47 cash for this outpatient procedure — the median across 607 hospitals that filed a usable cash price; the average of the middle 60% is $48. Most fall between $25 and $80 (20th–80th percentile).

Hospitals
607
States
49
Filings dated
Jan 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 607 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
$17$28$47$69$111

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($17 vs $111).

How the prices are spread

$12 – $16: 25 hospitals$12$16 – $21: 31 hospitals$21 – $27: 56 hospitals$21$27 – $36: 79 hospitals$36 – $47: 86 hospitals$36$47 – $62: 79 hospitals$62 – $81: 106 hospitals$62$81 – $107: 47 hospitals$107 – $140: 23 hospitals$107$140 – $184: 17 hospitals$140median $47price bands are equal on a log scale
Hospitals per price band (549 of 607 — the bands cover the 5th to 95th percentile)
FromToHospitals
$12$1625
$16$2131
$21$2756
$27$3679
$36$4786
$47$6279
$62$81106
$81$10747
$107$14023
$140$18417

By state

The median cash price in each state, against the national median of $47.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $34 across 10 hospitalsME$34Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $66 across 26 hospitalsMN$66Illinois: median $47 across 29 hospitalsIL$47Wisconsin: median $67 across 34 hospitalsWI$67Michigan: median $23 across 36 hospitalsMI$23New York: median $57 across 50 hospitalsNY$57Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $39 across 19 hospitalsOR$39Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $49 across 10 hospitalsSD$49Iowa: median $42 across 32 hospitalsIA$42Indiana: median $60 across 31 hospitalsIN$60Ohio: median $60 across 24 hospitalsOH$60Pennsylvania: median $43 across 15 hospitalsPA$43New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $63 across 38 hospitalsCA$63Utah: 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: median $29 across 12 hospitalsMO$29Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $16 across 21 hospitalsWV$16Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals 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: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $27 across 12 hospitalsKS$27Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $33 across 11 hospitalsSC$33Oklahoma: median $39 across 14 hospitalsOK$39Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $28 across 16 hospitalsGA$28Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $68 across 14 hospitalsTX$68Florida: median $34 across 13 hospitalsFL$34
Cash price by state, most expensive first. National median $47. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX14$68+45%$43 – $76
Wisconsin WI34$67+42%$35 – $98
Minnesota MN26$66+40%$39 – $72
California CA38$63+35%$28 – $63
Ohio OH24$60+28%$29 – $109
Indiana IN31$60+27%$25 – $108
New York NY50$57+21%$27 – $63
South Dakota SD10$49+3%$45 – $68
Illinois IL29$470%$33 – $60
Pennsylvania PA15$43−8%$17 – $67
Iowa IA32$42−11%$34 – $56
Oklahoma OK14$39−17%$39 – $39
Oregon OR19$39−17%$36 – $60
Florida FL13$34−27%$11 – $656
Maine ME10$34−29%$23 – $44
South Carolina SC11$33−31%$13 – $40
Missouri MO12$29−39%$26 – $85
Georgia GA16$28−41%$28 – $80
Kansas KS12$27−43%$21 – $48
Michigan MI36$23−51%$22 – $38
West Virginia WV21$16−67%$12 – $26
Montana MT9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Rhode Island RI2not 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 $47.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care403$47$25 – $80
Children’s7fewer than 20 hospitals
Critical access196$48$24 – $70
Ownership
For-profit29$63$33 – $133
Government110$47$25 – $76
Non-profit467$47$24 – $77
System affiliation
Part of a system495$48$24 – $80
Independent112$45$26 – $82

Cash price vs list price

Median list price (chargemaster)$65
Median cash price$47
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

397 hospitals filed a usable inpatient cash price for this code. The median is $49 and the average of the middle 60% is $51; most fall between $28 and $82.

Cash price percentiles, inpatient, across 397 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
$22$33$49$74$117

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($22 vs $117).

Of the 411 hospitals that filed this code inpatient, 397 gave a usable cash price; 1 carried a plausibility flag, 1 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

607 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 649 hospitals that filed this code at all gave us
Usable cash price — counted607
Cash price carrying a plausibility flag — shown on the compare tool, excluded here11
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded30
Hospitals that filed this code649

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 Pelvic Examination.

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, “Added charge for a pelvic examination (CPT 99459) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99459-added-charge-for-a-pelvic-examination