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Procedure price report · Consultation, evaluation, and preventative care

Complex monthly care coordination, each extra 30 minutes

CPT 99489the billing code this page is about

Add-on for each additional 30 minutes of staff time in the same calendar month spent coordinating care for a patient with several long-term conditions, beyond the first 60 minutes.

Hospitals typically charge $74 cash for this outpatient procedure — the median across 584 hospitals that filed a usable cash price; the average of the middle 60% is $74. Most fall between $40 and $120 (20th–80th percentile).

Hospitals
584
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 584 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
$33$47$74$109$153

The most expensive tenth of hospitals charges at least 4.7× what the cheapest tenth charges ($33 vs $153).

How the prices are spread

$24 – $30: 15 hospitals$24$30 – $36: 44 hospitals$36 – $44: 43 hospitals$36$44 – $54: 74 hospitals$54 – $66: 58 hospitals$54$66 – $81: 82 hospitals$81 – $99: 73 hospitals$81$99 – $121: 52 hospitals$121 – $147: 47 hospitals$121$147 – $180: 39 hospitals$147median $74price bands are equal on a log scale
Hospitals per price band (527 of 584 — the bands cover the 5th to 95th percentile)
FromToHospitals
$24$3015
$30$3644
$36$4443
$44$5474
$54$6658
$66$8182
$81$9973
$99$12152
$121$14747
$147$18039

By state

The median cash price in each state, against the national median of $74.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: median $39 across 11 hospitalsME$39Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $98 across 19 hospitalsWA$98Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $91 across 14 hospitalsMT$91North Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $112 across 21 hospitalsMN$112Illinois: median $86 across 26 hospitalsIL$86Wisconsin: median $116 across 37 hospitalsWI$116Michigan: median $57 across 40 hospitalsMI$57New York: median $72 across 30 hospitalsNY$72Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $105 across 21 hospitalsOR$105Nevada: 3 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 $133 across 28 hospitalsIA$133Indiana: median $48 across 23 hospitalsIN$48Ohio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $33 across 14 hospitalsPA$33New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $77 across 37 hospitalsCA$77Utah: 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 $94 across 13 hospitalsNE$94Missouri: 7 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 $60 across 24 hospitalsWV$60Virginia: median $52 across 12 hospitalsVA$52Maryland: 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $78 across 14 hospitalsKS$78Arkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $41 across 11 hospitalsTN$41North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $85 across 11 hospitalsOK$85Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $40 across 13 hospitalsMS$40Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $65 across 12 hospitalsGA$65Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $52 across 47 hospitalsTX$52Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $74. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Iowa IA28$133+79%$79 – $142
Wisconsin WI37$116+57%$91 – $149
Minnesota MN21$112+50%$51 – $143
Oregon OR21$105+42%$89 – $147
Washington WA19$98+31%$75 – $168
Nebraska NE13$94+27%$65 – $133
Montana MT14$91+23%$74 – $181
Illinois IL26$86+16%$48 – $154
Oklahoma OK11$85+15%$85 – $85
Kansas KS14$78+5%$53 – $96
California CA37$77+4%$65 – $94
New York NY30$72−3%$40 – $153
Georgia GA12$65−13%$65 – $65
West Virginia WV24$60−19%$10 – $78
Michigan MI40$57−23%$37 – $76
Texas TX47$52−30%$35 – $56
Virginia VA12$52−31%$50 – $52
Indiana IN23$48−36%$35 – $78
Tennessee TN11$41−45%$20 – $47
Mississippi MS13$40−47%$23 – $51
Maine ME11$39−48%$30 – $51
Pennsylvania PA14$33−56%$30 – $86
Ohio OH9not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
North Dakota ND2not 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
New Jersey NJ1not 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 $74.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care363$65$37 – $109
Children’s11fewer than 20 hospitals
Critical access210$81$46 – $142
Ownership
For-profit38$52$35 – $116
Government120$84$50 – $118
Non-profit426$73$38 – $120
System affiliation
Part of a system451$69$37 – $116
Independent133$83$54 – $133

Cash price vs list price

Median list price (chargemaster)$126
Median cash price$74
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

332 hospitals filed a usable inpatient cash price for this code. The median is $77 and the average of the middle 60% is $76; most fall between $48 and $120.

Cash price percentiles, inpatient, across 332 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
$36$52$77$115$149

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($36 vs $149).

Of the 348 hospitals that filed this code inpatient, 332 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 12 a list price only.

How complete is this

584 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 626 hospitals that filed this code at all gave us
Usable cash price — counted584
Cash price carrying a plausibility flag — shown on the compare tool, excluded here12
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 — excluded30
Hospitals that filed this code626

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 Cplx Chronic Care Mgmt Svc Ea Addl 30 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, each extra 30 minutes (CPT 99489) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99489-complex-monthly-care-coordination-each-extra-30-minutes