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Procedure price report · Consultation, evaluation, and preventative care

Child intensive care, first day (ages 2 through 5)

CPT 99475the billing code this page is about

Physician critical care in the hospital for a child aged 2 through 5 years, covering the first day; one unit is one calendar day.

Hospitals typically charge $1,017 cash for this outpatient procedure — the median across 185 hospitals that filed a usable cash price; the average of the middle 60% is $967. Most fall between $552 and $1,628 (20th–80th percentile).

Hospitals
185
States
37
Filings dated
Jan 2024 – 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 185 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
$426$572$1,017$1,407$2,226

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($426 vs $2,226).

How the prices are spread

$343 – $417: 9 hospitals$343$417 – $506: 16 hospitals$506 – $615: 17 hospitals$506$615 – $747: 18 hospitals$747 – $908: 10 hospitals$747$908 – $1,103: 47 hospitals$1,103 – $1,340: 5 hospitals$1,103$1,340 – $1,627: 16 hospitals$1,627 – $1,977: 12 hospitals$1,627$1,977 – $2,402: 19 hospitals$1,977median $1,017price bands are equal on a log scale
Hospitals per price band (169 of 185 — the bands cover the 5th to 95th percentile)
FromToHospitals
$343$4179
$417$50616
$506$61517
$615$74718
$747$90810
$908$1,10347
$1,103$1,3405
$1,340$1,62716
$1,627$1,97712
$1,977$2,40219

By state

The median cash price in each state, against the national median of $1,017.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 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: no hospital in the corpus filed a usable priceNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $2,226 across 13 hospitalsWI$2,226Michigan: median $983 across 17 hospitalsMI$983New York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 7 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: no hospital in the corpus filed a usable priceSDIowa: median $1,017 across 17 hospitalsIA$1,017Indiana: median $456 across 11 hospitalsIN$456Ohio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $359 across 10 hospitalsPA$359New 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: 2 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: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 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: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,037 across 10 hospitalsOK$1,037Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,017. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI13$2,226+119%$2,226 – $2,226
Oklahoma OK10$1,037+2%$1,037 – $1,037
Iowa IA17$1,0170%$1,017 – $1,376
Michigan MI17$983−3%$552 – $1,061
Indiana IN11$456−55%$322 – $456
Pennsylvania PA10$359−65%$296 – $405
Illinois IL9not enough hospitals filed a usable price
New York NY9not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
California CA2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
New Mexico NM1not 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 $1,017.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care133$1,008$552 – $1,540
Children’s9fewer than 20 hospitals
Critical access43$1,017$456 – $2,226
Ownership
For-profit17fewer than 20 hospitals
Government35$1,000$572 – $1,565
Non-profit133$1,017$561 – $1,750
System affiliation
Part of a system136$1,008$456 – $1,628
Independent49$1,027$622 – $1,707

Cash price vs list price

Median list price (chargemaster)$1,482
Median cash price$1,017
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

137 hospitals filed a usable inpatient cash price for this code. The median is $1,017 and the average of the middle 60% is $1,015; most fall between $572 and $1,628.

Cash price percentiles, inpatient, across 137 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
$456$683$1,017$1,444$2,226

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($456 vs $2,226).

Of the 149 hospitals that filed this code inpatient, 137 gave a usable cash price; 3 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

185 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 199 hospitals that filed this code at all gave us
Usable cash price — counted185
Cash price carrying a plausibility flag — shown on the compare tool, excluded here9
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 — excluded5
Hospitals that filed this code199

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 5, 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 Initial Ped Critical Care 2 Thru 5 Years.

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, “Child intensive care, first day (ages 2 through 5) (CPT 99475) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99475-child-intensive-care-first-day-ages-2-through-5