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Procedure price report · Consultation, evaluation, and preventative care

Newborn care outside a hospital or birth center, first day

CPT 99461the billing code this page is about

Covers the first day of evaluation and management of a healthy newborn born somewhere other than a hospital or birthing center, such as at home or in an office, billed per day.

Hospitals typically charge $143 cash for this outpatient procedure — the median across 226 hospitals that filed a usable cash price; the average of the middle 60% is $151. Most fall between $75 and $241 (20th–80th percentile).

Hospitals
226
States
39
Filings dated
Nov 2023 – 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 226 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$88$143$208$281

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($46 vs $281).

How the prices are spread

$38 – $207: 158 hospitals$38$207 – $1,147: 45 hospitals$1,147 – $6,340: 0 hospitals$1,147$6,340 – $35,045: 0 hospitals$35,045 – $193,727: 0 hospitals$35,045$193,727 – $1,070,906: 0 hospitals$1,070,906 – $5,919,889: 0 hospitals$1,070,906$5,919,889 – $32,724,703: 0 hospitals$32,724,703 – $180,899,704: 0 hospitals$32,724,703$180,899,704 – $999,999,999: 12 hospitals$180,899,704median $143price bands are equal on a log scale
Hospitals per price band (215 of 226 — the bands cover the 5th to 95th percentile)
FromToHospitals
$38$207158
$207$1,14745
$1,147$6,3400
$6,340$35,0450
$35,045$193,7270
$193,727$1,070,9060
$1,070,906$5,919,8890
$5,919,889$32,724,7030
$32,724,703$180,899,7040
$180,899,704$999,999,99912

By state

The median cash price in each state, against the national median of $143.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $138 across 13 hospitalsIL$138Wisconsin: median $241 across 19 hospitalsWI$241Michigan: median $123 across 28 hospitalsMI$123New York: median $281 across 27 hospitalsNY$281Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $167 across 14 hospitalsIA$167Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $39 across 10 hospitalsPA$39New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 8 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $123 across 10 hospitalsOK$123Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $143. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY27$281+97%$162 – $999,999,999
Wisconsin WI19$241+69%$134 – $241
Iowa IA14$167+17%$167 – $167
Illinois IL13$138−3%$88 – $169
Michigan MI28$123−14%$68 – $164
Oklahoma OK10$123−14%$123 – $123
Pennsylvania PA10$39−73%$32 – $44
California CA8not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
West Virginia WV1not 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 $143.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care156$134$75 – $230
Children’s6fewer than 20 hospitals
Critical access64$147$88 – $241
Ownership
For-profit16fewer than 20 hospitals
Government41$165$105 – $251
Non-profit169$147$75 – $241
System affiliation
Part of a system177$134$70 – $225
Independent49$166$95 – $266

Cash price vs list price

Median list price (chargemaster)$209
Median cash price$143
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

129 hospitals filed a usable inpatient cash price for this code. The median is $147 and the average of the middle 60% is $144; most fall between $82 and $224.

Cash price percentiles, inpatient, across 129 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
$62$88$147$202$241

The most expensive tenth of hospitals charges at least 3.9× what the cheapest tenth charges ($62 vs $241).

Of the 136 hospitals that filed this code inpatient, 129 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 7 a list price only.

How complete is this

226 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 235 hospitals that filed this code at all gave us
Usable cash price — counted226
Cash price carrying a plausibility flag — shown on the compare tool, excluded here5
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 — excluded4
Hospitals that filed this code235

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 Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as INIT E M NORM NB OTHER.

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, “Newborn care outside a hospital or birth center, first day (CPT 99461) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99461-newborn-care-outside-a-hospital-or-birth-center-first-day