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Procedure price report · Consultation, evaluation, and preventative care

Complex monthly care coordination, first 60 minutes

CPT 99487the billing code this page is about

Staff time spent in one calendar month coordinating care for a patient with several long-term conditions, including a care plan and contact with other providers, without a face-to-face visit; covers the first 60 minutes.

Hospitals typically charge $160 cash for this outpatient procedure — the median across 650 hospitals that filed a usable cash price; the average of the middle 60% is $161. Most fall between $88 and $247 (20th–80th percentile).

Hospitals
650
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 650 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
$66$99$160$222$319

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($66 vs $319).

How the prices are spread

$50 – $61: 20 hospitals$50$61 – $75: 48 hospitals$75 – $92: 40 hospitals$75$92 – $112: 78 hospitals$112 – $137: 58 hospitals$112$137 – $168: 88 hospitals$168 – $206: 76 hospitals$168$206 – $252: 93 hospitals$252 – $309: 44 hospitals$252$309 – $378: 41 hospitals$309median $160price bands are equal on a log scale
Hospitals per price band (586 of 650 — the bands cover the 5th to 95th percentile)
FromToHospitals
$50$6120
$61$7548
$75$9240
$92$11278
$112$13758
$137$16888
$168$20676
$206$25293
$252$30944
$309$37841

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$160
Cash as a multiple of Medicare0.88×

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 $160.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: median $82 across 11 hospitalsME$82Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $166 across 22 hospitalsWA$166Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $150 across 16 hospitalsMT$150North Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $226 across 22 hospitalsMN$226Illinois: median $161 across 26 hospitalsIL$161Wisconsin: median $221 across 39 hospitalsWI$221Michigan: median $114 across 42 hospitalsMI$114New York: median $190 across 47 hospitalsNY$190Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $211 across 22 hospitalsOR$211Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $247 across 29 hospitalsIA$247Indiana: median $148 across 24 hospitalsIN$148Ohio: median $131 across 16 hospitalsOH$131Pennsylvania: median $66 across 15 hospitalsPA$66New Jersey: median $178 across 11 hospitalsNJ$178Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $209 across 38 hospitalsCA$209Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $150 across 14 hospitalsNE$150Missouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $171 across 22 hospitalsWV$171Virginia: median $103 across 13 hospitalsVA$103Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $150 across 15 hospitalsKS$150Arkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $56 across 12 hospitalsTN$56North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $160 across 16 hospitalsOK$160Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $94 across 14 hospitalsMS$94Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $104 across 45 hospitalsTX$104Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $160. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Iowa IA29$247+54%$127 – $247
Minnesota MN22$226+41%$82 – $307
Wisconsin WI39$221+38%$166 – $319
Oregon OR22$211+32%$164 – $279
California CA38$209+31%$111 – $209
New York NY47$190+19%$77 – $256
New Jersey NJ11$178+11%$178 – $189
West Virginia WV22$171+7%$115 – $196
Washington WA22$166+4%$136 – $272
Illinois IL26$161+1%$86 – $287
Oklahoma OK16$1600%$160 – $223
Kansas KS15$150−6%$78 – $195
Montana MT16$150−6%$123 – $223
Nebraska NE14$150−7%$121 – $246
Indiana IN24$148−7%$74 – $213
Ohio OH16$131−18%$94 – $471
Michigan MI42$114−28%$70 – $244
Texas TX45$104−35%$95 – $132
Virginia VA13$103−36%$99 – $112
Mississippi MS14$94−41%$58 – $147
Maine ME11$82−49%$64 – $101
Pennsylvania PA15$66−59%$56 – $144
Tennessee TN12$56−65%$39 – $94
Idaho ID9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
South Dakota SD1not 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 $160.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care414$160$86 – $244
Children’s12fewer than 20 hospitals
Critical access224$158$92 – $262
Ownership
For-profit40$104$71 – $296
Government131$163$90 – $236
Non-profit479$158$90 – $247
System affiliation
Part of a system503$158$86 – $243
Independent147$161$96 – $277

Cash price vs list price

Median list price (chargemaster)$252
Median cash price$160
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

361 hospitals filed a usable inpatient cash price for this code. The median is $160 and the average of the middle 60% is $162; most fall between $99 and $247.

Cash price percentiles, inpatient, across 361 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
$82$104$160$234$319

The most expensive tenth of hospitals charges at least 3.9× what the cheapest tenth charges ($82 vs $319).

Of the 383 hospitals that filed this code inpatient, 361 gave a usable cash price; 4 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

650 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 686 hospitals that filed this code at all gave us
Usable cash price — counted650
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 — excluded22
Hospitals that filed this code686

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 Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as Complex Chronic Care Mgmt Svc 1st 60 Min Cal Mo.

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, “Complex monthly care coordination, first 60 minutes (CPT 99487) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99487-complex-monthly-care-coordination-first-60-minutes