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Procedure price report · Psychological and psychiatric evaluation and therapy

Monthly care management for a mental health condition

CPT 99484the billing code this page is about

At least 20 minutes of staff time in a calendar month spent tracking and coordinating treatment for a behavioral health condition, including symptom monitoring and plan revision; one unit is one month.

Hospitals typically charge $68 cash for this outpatient procedure — the median across 463 hospitals that filed a usable cash price; the average of the middle 60% is $68. Most fall between $33 and $116 (20th–80th percentile).

Hospitals
463
States
43
Filings dated
Sep 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 463 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
$27$37$68$101$165

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($27 vs $165).

How the prices are spread

$20 – $25: 21 hospitals$20$25 – $33: 44 hospitals$33 – $42: 42 hospitals$33$42 – $54: 60 hospitals$54 – $69: 48 hospitals$54$69 – $89: 65 hospitals$89 – $114: 66 hospitals$89$114 – $147: 40 hospitals$147 – $188: 22 hospitals$147$188 – $242: 12 hospitals$188median $68price bands are equal on a log scale
Hospitals per price band (420 of 463 — the bands cover the 5th to 95th percentile)
FromToHospitals
$20$2521
$25$3344
$33$4242
$42$5460
$54$6948
$69$8965
$89$11466
$114$14740
$147$18822
$188$24212

Against Medicare

Medicare pays (OPPS 2026, national rate)$38
Median cash price$68
Cash as a multiple of Medicare1.78×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

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

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $68 across 16 hospitalsWA$68Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $66 across 15 hospitalsMT$66North Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $153 across 16 hospitalsMN$153Illinois: median $77 across 14 hospitalsIL$77Wisconsin: median $92 across 28 hospitalsWI$92Michigan: median $44 across 40 hospitalsMI$44New York: median $44 across 50 hospitalsNY$44Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $83 across 15 hospitalsOR$83Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $101 across 16 hospitalsIA$101Indiana: median $27 across 18 hospitalsIN$27Ohio: median $81 across 15 hospitalsOH$81Pennsylvania: median $28 across 12 hospitalsPA$28New Jersey: median $33 across 11 hospitalsNJ$33Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $122 across 48 hospitalsCA$122Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: median $45 across 12 hospitalsWV$45Virginia: 5 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 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: no hospital in the corpus filed a usable priceNCSouth Carolina: median $72 across 15 hospitalsSC$72Oklahoma: median $71 across 15 hospitalsOK$71Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $32 across 18 hospitalsTX$32Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
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 MN16$153+125%$61 – $180
California CA48$122+80%$89 – $273
Iowa IA16$101+48%$101 – $101
Wisconsin WI28$92+36%$65 – $188
Oregon OR15$83+22%$78 – $98
Ohio OH15$81+19%$44 – $171
Illinois IL14$77+13%$31 – $155
South Carolina SC15$72+6%$38 – $97
Oklahoma OK15$71+4%$68 – $71
Washington WA16$68−1%$46 – $87
Montana MT15$66−3%$47 – $90
West Virginia WV12$45−35%$44 – $48
New York NY50$44−35%$33 – $106
Michigan MI40$44−35%$12 – $67
New Jersey NJ11$33−51%$33 – $35
Texas TX18$32−53%$32 – $32
Pennsylvania PA12$28−59%$27 – $36
Indiana IN18$27−60%$22 – $39
Massachusetts MA9not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Rhode Island RI1not 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 care326$68$33 – $119
Children’s5fewer than 20 hospitals
Critical access132$68$39 – $101
Ownership
For-profit20$71$32 – $89
Government75$67$37 – $97
Non-profit368$68$33 – $122
System affiliation
Part of a system379$67$33 – $116
Independent84$72$47 – $119

Cash price vs list price

Median list price (chargemaster)$105
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

270 hospitals filed a usable inpatient cash price for this code. The median is $84 and the average of the middle 60% is $84; most fall between $44 and $131.

Cash price percentiles, inpatient, across 270 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
$32$52$84$122$194

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($32 vs $194).

Of the 276 hospitals that filed this code inpatient, 270 gave a usable cash price; 2 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

463 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 473 hospitals that filed this code at all gave us
Usable cash price — counted463
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
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 — excluded3
Hospitals that filed this code473

Sections not shown for this setting

  • 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 Psychological and psychiatric evaluation and therapy family.

Hospitals file this code under descriptions such as Care Mgmt Services Behavioral Hlth Cond 20 Mins.

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, “Monthly care management for a mental health condition (CPT 99484) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99484-monthly-care-management-for-a-mental-health-condition