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Procedure price report · Telehealth (includes telephone calls, online communication, remote monitoring and surveillance)

Care handoff after hospital discharge, visit within 7 days

CPT 99496the billing code this page is about

Covers 30 days of managing a patient's transition from hospital to home at high medical complexity, including a face-to-face visit within 7 days of discharge.

Hospitals typically charge $252 cash for this outpatient procedure — the median across 1,174 hospitals that filed a usable cash price; the average of the middle 60% is $263. Most fall between $138 and $443 (20th–80th percentile).

Hospitals
1,174
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 1,174 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
$98$156$252$395$578

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($98 vs $578).

How the prices are spread

$79 – $98: 60 hospitals$79$98 – $122: 66 hospitals$122 – $153: 104 hospitals$122$153 – $190: 127 hospitals$190 – $237: 123 hospitals$190$237 – $295: 137 hospitals$295 – $368: 175 hospitals$295$368 – $458: 107 hospitals$458 – $571: 91 hospitals$458$571 – $712: 68 hospitals$571median $252price bands are equal on a log scale
Hospitals per price band (1,058 of 1,174 — the bands cover the 5th to 95th percentile)
FromToHospitals
$79$9860
$98$12266
$122$153104
$153$190127
$190$237123
$237$295137
$295$368175
$368$458107
$458$57191
$571$71268

Against Medicare

Medicare pays (OPPS 2026, national rate)$136
Median cash price$252
Cash as a multiple of Medicare1.85×

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 $252.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $158 across 17 hospitalsME$158Vermont: median $328 across 10 hospitalsVT$328New Hampshire: median $171 across 11 hospitalsNH$171Washington: median $342 across 35 hospitalsWA$342Idaho: median $341 across 13 hospitalsID$341Montana: median $274 across 15 hospitalsMT$274North Dakota: median $480 across 11 hospitalsND$480Minnesota: median $411 across 41 hospitalsMN$411Illinois: median $238 across 40 hospitalsIL$238Wisconsin: median $359 across 50 hospitalsWI$359Michigan: median $217 across 68 hospitalsMI$217New York: median $211 across 76 hospitalsNY$211Massachusetts: median $287 across 16 hospitalsMA$287Oregon: median $512 across 32 hospitalsOR$512Nevada: 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 $193 across 17 hospitalsSD$193Iowa: median $308 across 60 hospitalsIA$308Indiana: median $167 across 38 hospitalsIN$167Ohio: median $322 across 37 hospitalsOH$322Pennsylvania: median $180 across 55 hospitalsPA$180New Jersey: median $143 across 16 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 51 hospitalsCA$319Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $333 across 26 hospitalsCO$333Nebraska: median $429 across 25 hospitalsNE$429Missouri: median $220 across 23 hospitalsMO$220Kentucky: median $146 across 13 hospitalsKY$146West Virginia: median $184 across 27 hospitalsWV$184Virginia: median $204 across 18 hospitalsVA$204Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 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 $278 across 22 hospitalsKS$278Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $129 across 16 hospitalsTN$129North Carolina: median $209 across 28 hospitalsNC$209South Carolina: median $266 across 30 hospitalsSC$266Oklahoma: median $259 across 23 hospitalsOK$259Louisiana: median $125 across 12 hospitalsLA$125Mississippi: median $197 across 22 hospitalsMS$197Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $199 across 25 hospitalsGA$199Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $189 across 64 hospitalsTX$189Florida: median $477 across 25 hospitalsFL$477
Cash price by state, most expensive first. National median $252. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Oregon OR32$512+104%$190 – $621
North Dakota ND11$480+91%$181 – $718
Florida FL25$477+90%$129 – $722
Nebraska NE25$429+71%$323 – $569
Minnesota MN41$411+64%$211 – $540
Wisconsin WI50$359+43%$177 – $418
Washington WA35$342+36%$171 – $555
Idaho ID13$341+36%$151 – $341
Colorado CO26$333+32%$158 – $438
Vermont VT10$328+30%$255 – $529
Ohio OH37$322+28%$112 – $578
California CA51$319+27%$166 – $349
Iowa IA60$308+23%$182 – $513
Massachusetts MA16$287+14%$247 – $606
Kansas KS22$278+10%$195 – $473
Montana MT15$274+9%$170 – $495
South Carolina SC30$266+6%$250 – $400
Oklahoma OK23$259+3%$149 – $259
Illinois IL40$238−6%$169 – $416
Missouri MO23$220−13%$133 – $255
Michigan MI68$217−14%$98 – $313
New York NY76$211−16%$145 – $383
North Carolina NC28$209−17%$83 – $219
Virginia VA18$204−19%$126 – $240
Georgia GA25$199−21%$156 – $347
Mississippi MS22$197−22%$87 – $345
South Dakota SD17$193−23%$162 – $346
Texas TX64$189−25%$85 – $287
West Virginia WV27$184−27%$130 – $278
Pennsylvania PA55$180−28%$117 – $778
New Hampshire NH11$171−32%$116 – $366
Indiana IN38$167−34%$118 – $306
Maine ME17$158−37%$86 – $283
Kentucky KY13$146−42%$142 – $281
New Jersey NJ16$143−43%$143 – $172
Tennessee TN16$129−49%$58 – $342
Louisiana LA12$125−51%$91 – $167
Wyoming WY8not 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
Arkansas AR6not enough hospitals filed a usable price
Hawaii HI6not 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
Delaware DE4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Maryland MD3not 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 $252.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care764$220$127 – $404
Children’s10fewer than 20 hospitals
Critical access399$308$175 – $473
Ownership
For-profit64$193$98 – $357
Government263$279$153 – $439
Non-profit846$254$136 – $451
System affiliation
Part of a system917$251$134 – $433
Independent257$280$150 – $473

Cash price vs list price

Median list price (chargemaster)$410
Median cash price$252
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

720 hospitals filed a usable inpatient cash price for this code. The median is $266 and the average of the middle 60% is $273; most fall between $156 and $445.

Cash price percentiles, inpatient, across 720 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
$105$168$266$400$578

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($105 vs $578).

Of the 764 hospitals that filed this code inpatient, 720 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 35 a list price only.

How complete is this

1,174 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 1,235 hospitals that filed this code at all gave us
Usable cash price — counted1,174
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded31
Hospitals that filed this code1,235

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.

Related procedures

Part of the Telehealth (includes telephone calls, online communication, remote monitoring and surveillance) family.

Hospitals file this code under descriptions such as Transj Care Mgmt High Mdm F2f 7 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 7 days (CPT 99496) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99496-care-handoff-after-hospital-discharge-visit-within-7-days