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Procedure price report · Consultation, evaluation, and preventative care

Advance care planning discussion, first 30 minutes

CPT 99497the billing code this page is about

Covers the first 30 minutes of a counseling discussion about future medical care wishes, including completing forms such as a living will or health care proxy.

Hospitals typically charge $120 cash for this outpatient procedure — the median across 1,167 hospitals that filed a usable cash price; the average of the middle 60% is $121. Most fall between $65 and $186 (20th–80th percentile).

Hospitals
1,167
States
50
Filings dated
Mar 2023 – 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 1,167 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
$46$75$120$173$240

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($46 vs $240).

How the prices are spread

$36 – $45: 52 hospitals$36$45 – $56: 74 hospitals$56 – $69: 78 hospitals$56$69 – $86: 97 hospitals$86 – $107: 130 hospitals$86$107 – $133: 176 hospitals$133 – $165: 186 hospitals$133$165 – $205: 132 hospitals$205 – $255: 89 hospitals$205$255 – $317: 37 hospitals$255median $120price bands are equal on a log scale
Hospitals per price band (1,051 of 1,167 — the bands cover the 5th to 95th percentile)
FromToHospitals
$36$4552
$45$5674
$56$6978
$69$8697
$86$107130
$107$133176
$133$165186
$165$205132
$205$25589
$255$31737

Against Medicare

Medicare pays (OPPS 2026, national rate)$104
Median cash price$120
Cash as a multiple of Medicare1.15×

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 $120.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $99 across 21 hospitalsME$99Vermont: median $138 across 10 hospitalsVT$138New Hampshire: median $86 across 15 hospitalsNH$86Washington: median $150 across 42 hospitalsWA$150Idaho: median $108 across 12 hospitalsID$108Montana: median $122 across 22 hospitalsMT$122North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $162 across 49 hospitalsMN$162Illinois: median $134 across 32 hospitalsIL$134Wisconsin: median $140 across 41 hospitalsWI$140Michigan: median $71 across 48 hospitalsMI$71New York: median $113 across 82 hospitalsNY$113Massachusetts: median $215 across 21 hospitalsMA$215Oregon: median $150 across 32 hospitalsOR$150Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $151 across 11 hospitalsSD$151Iowa: median $154 across 49 hospitalsIA$154Indiana: median $65 across 43 hospitalsIN$65Ohio: median $176 across 44 hospitalsOH$176Pennsylvania: median $119 across 55 hospitalsPA$119New Jersey: median $117 across 23 hospitalsNJ$117Connecticut: median $185 across 11 hospitalsCT$185Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $166 across 37 hospitalsCA$166Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $111 across 32 hospitalsCO$111Nebraska: median $158 across 24 hospitalsNE$158Missouri: median $81 across 30 hospitalsMO$81Kentucky: median $105 across 18 hospitalsKY$105West Virginia: median $104 across 27 hospitalsWV$104Virginia: median $108 across 26 hospitalsVA$108Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $91 across 25 hospitalsKS$91Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $46 across 22 hospitalsTN$46North Carolina: median $93 across 33 hospitalsNC$93South Carolina: median $90 across 30 hospitalsSC$90Oklahoma: median $153 across 22 hospitalsOK$153Louisiana: median $48 across 13 hospitalsLA$48Mississippi: median $65 across 19 hospitalsMS$65Alabama: median $127 across 10 hospitalsAL$127Georgia: median $123 across 25 hospitalsGA$123Hawaii: median $95 across 10 hospitalsHI$95Texas: median $71 across 27 hospitalsTX$71Florida: median $97 across 13 hospitalsFL$97
Cash price by state, most expensive first. National median $120. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA21$215+79%$98 – $296
Connecticut CT11$185+55%$161 – $190
Ohio OH44$176+47%$111 – $415
California CA37$166+38%$53 – $235
Minnesota MN49$162+35%$88 – $217
Nebraska NE24$158+32%$94 – $176
Iowa IA49$154+28%$94 – $163
Oklahoma OK22$153+28%$120 – $162
South Dakota SD11$151+26%$88 – $231
Oregon OR32$150+25%$75 – $215
Washington WA42$150+25%$93 – $180
Wisconsin WI41$140+17%$132 – $200
Vermont VT10$138+15%$108 – $247
Illinois IL32$134+12%$82 – $191
Alabama AL10$127+6%$13 – $146
Georgia GA25$123+3%$116 – $238
Montana MT22$122+2%$94 – $162
Pennsylvania PA55$119−1%$59 – $199
New Jersey NJ23$117−2%$102 – $131
New York NY82$113−5%$71 – $224
Colorado CO32$111−7%$53 – $197
Idaho ID12$108−10%$59 – $245
Virginia VA26$108−10%$83 – $156
Kentucky KY18$105−12%$63 – $116
West Virginia WV27$104−13%$75 – $157
Maine ME21$99−17%$55 – $171
Florida FL13$97−19%$34 – $390
Hawaii HI10$95−21%$60 – $159
North Carolina NC33$93−23%$47 – $143
Kansas KS25$91−24%$58 – $141
South Carolina SC30$90−25%$52 – $104
New Hampshire NH15$86−28%$64 – $151
Missouri MO30$81−33%$60 – $121
Michigan MI48$71−41%$38 – $140
Texas TX27$71−41%$55 – $141
Indiana IN43$65−45%$45 – $128
Mississippi MS19$65−46%$53 – $112
Louisiana LA13$48−60%$34 – $164
Tennessee TN22$46−62%$36 – $88
North Dakota ND9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Utah UT3not 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 $120.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care773$113$63 – $185
Children’s6fewer than 20 hospitals
Critical access384$131$75 – $188
Ownership
For-profit60$96$52 – $176
Government260$121$75 – $175
Non-profit843$120$65 – $191
System affiliation
Part of a system901$119$62 – $179
Independent266$125$76 – $199

Cash price vs list price

Median list price (chargemaster)$191
Median cash price$120
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

730 hospitals filed a usable inpatient cash price for this code. The median is $123 and the average of the middle 60% is $127; most fall between $69 and $201.

Cash price percentiles, inpatient, across 730 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
$52$79$123$179$245

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($52 vs $245).

Of the 776 hospitals that filed this code inpatient, 730 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 37 a list price only.

How complete is this

1,167 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,230 hospitals that filed this code at all gave us
Usable cash price — counted1,167
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) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded39
Hospitals that filed this code1,230

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 Advance Care Planning First 30 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, “Advance care planning discussion, first 30 minutes (CPT 99497) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99497-advance-care-planning-discussion-first-30-minutes