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Care handoff after hospital discharge, visit within 14 days

CPT code CPT 99495the billing code this page is about

Covers 30 days of managing a patient's transition from hospital to home at moderate medical complexity, including a face-to-face visit within 14 days of discharge.

Hospitals typically charge $201 cash for this outpatient procedure — the median across 1,196 hospitals that filed a usable cash price; the average of the middle 60% is $213. Most fall between $117 and $340 (20th–80th percentile).

Hospitals
1,196
States
50
Filings dated
Dec 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 1,196 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
$85$134$201$317$452

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($85 vs $452).

How the prices are spread

$64 – $80: 53 hospitals$64$80 – $99: 71 hospitals$99 – $124: 81 hospitals$99$124 – $154: 145 hospitals$154 – $191: 146 hospitals$154$191 – $237: 144 hospitals$237 – $295: 139 hospitals$237$295 – $366: 147 hospitals$366 – $455: 92 hospitals$366$455 – $565: 60 hospitals$455median $201price bands are equal on a log scale
Hospitals per price band (1,078 of 1,196 — the bands cover the 5th to 95th percentile)
FromToHospitals
$64$8053
$80$9971
$99$12481
$124$154145
$154$191146
$191$237144
$237$295139
$295$366147
$366$45592
$455$56560

Against Medicare

Medicare pays (OPPS 2026, national rate)$136
Median cash price$201
Cash as a multiple of Medicare1.48×

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 $201.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $106 across 17 hospitalsME$106Vermont: median $239 across 10 hospitalsVT$239New Hampshire: median $118 across 12 hospitalsNH$118Washington: median $241 across 35 hospitalsWA$241Idaho: median $331 across 13 hospitalsID$331Montana: median $211 across 16 hospitalsMT$211North Dakota: median $353 across 12 hospitalsND$353Minnesota: median $289 across 41 hospitalsMN$289Illinois: median $223 across 41 hospitalsIL$223Wisconsin: median $265 across 50 hospitalsWI$265Michigan: median $174 across 68 hospitalsMI$174New York: median $188 across 76 hospitalsNY$188Massachusetts: median $328 across 20 hospitalsMA$328Oregon: median $378 across 33 hospitalsOR$378Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $162 across 16 hospitalsSD$162Iowa: median $229 across 61 hospitalsIA$229Indiana: median $116 across 40 hospitalsIN$116Ohio: median $230 across 49 hospitalsOH$230Pennsylvania: median $157 across 60 hospitalsPA$157New Jersey: median $143 across 15 hospitalsNJ$143Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $319 across 52 hospitalsCA$319Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $275 across 25 hospitalsCO$275Nebraska: median $302 across 26 hospitalsNE$302Missouri: median $163 across 26 hospitalsMO$163Kentucky: median $139 across 13 hospitalsKY$139West Virginia: median $154 across 26 hospitalsWV$154Virginia: median $204 across 18 hospitalsVA$204Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $191 across 25 hospitalsKS$191Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $121 across 16 hospitalsTN$121North Carolina: median $151 across 32 hospitalsNC$151South Carolina: median $254 across 30 hospitalsSC$254Oklahoma: median $190 across 21 hospitalsOK$190Louisiana: median $84 across 13 hospitalsLA$84Mississippi: median $138 across 21 hospitalsMS$138Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $157 across 19 hospitalsGA$157Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $149 across 61 hospitalsTX$149Florida: median $160 across 21 hospitalsFL$160
Cash price by state, most expensive first. National median $201. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Oregon OR33$378+88%$144 – $459
North Dakota ND12$353+76%$305 – $525
Idaho ID13$331+65%$139 – $341
Massachusetts MA20$328+63%$144 – $419
California CA52$319+59%$138 – $322
Nebraska NE26$302+50%$260 – $421
Minnesota MN41$289+44%$157 – $470
Colorado CO25$275+37%$113 – $324
Wisconsin WI50$265+32%$149 – $307
South Carolina SC30$254+26%$188 – $254
Washington WA35$241+20%$145 – $423
Vermont VT10$239+19%$180 – $395
Ohio OH49$230+14%$123 – $578
Iowa IA61$229+14%$161 – $378
Illinois IL41$223+11%$139 – $370
Montana MT16$211+5%$128 – $397
Virginia VA18$204+1%$93 – $207
Kansas KS25$191−5%$135 – $361
Oklahoma OK21$190−5%$172 – $190
New York NY76$188−7%$107 – $388
Michigan MI68$174−14%$98 – $300
Missouri MO26$163−19%$118 – $202
South Dakota SD16$162−19%$160 – $263
Florida FL21$160−21%$60 – $722
Pennsylvania PA60$157−22%$105 – $397
Georgia GA19$157−22%$148 – $240
West Virginia WV26$154−24%$128 – $269
North Carolina NC32$151−25%$88 – $156
Texas TX61$149−26%$64 – $229
New Jersey NJ15$143−29%$141 – $172
Kentucky KY13$139−31%$112 – $208
Mississippi MS21$138−32%$76 – $201
Tennessee TN16$121−40%$58 – $253
New Hampshire NH12$118−41%$80 – $249
Indiana IN40$116−42%$85 – $213
Maine ME17$106−47%$64 – $236
Louisiana LA13$84−58%$59 – $127
Wyoming WY8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Delaware DE2not 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 $201.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care777$189$109 – $324
Children’s13fewer than 20 hospitals
Critical access404$232$133 – $361
Ownership
For-profit68$157$85 – $341
Government262$206$130 – $322
Non-profit864$203$116 – $351
System affiliation
Part of a system933$196$113 – $333
Independent263$222$123 – $379

Cash price vs list price

Median list price (chargemaster)$330
Median cash price$201
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

727 hospitals filed a usable inpatient cash price for this code. The median is $206 and the average of the middle 60% is $220; most fall between $121 and $341.

Cash price percentiles, inpatient, across 727 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
$90$139$206$319$463

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($90 vs $463).

Of the 775 hospitals that filed this code inpatient, 727 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 39 a list price only.

How complete is this

1,196 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,254 hospitals that filed this code at all gave us
Usable cash price — counted1,196
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded34
Hospitals that filed this code1,254

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 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.

Hospitals file this code under descriptions such as Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge.

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, “Care handoff after hospital discharge, visit within 14 days (CPT 99495) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99495-care-handoff-after-hospital-discharge-visit-within-14-days