HRHospitalRates.comCompare prices

Procedure price report · Consultation, evaluation, and preventative care

Advance care planning discussion, each extra 30 minutes

CPT 99498the billing code this page is about

Billed once for each additional 30 minutes of discussion about future medical care wishes, beyond the first 30 minutes.

Hospitals typically charge $105 cash for this outpatient procedure — the median across 788 hospitals that filed a usable cash price; the average of the middle 60% is $104. Most fall between $54 and $157 (20th–80th percentile).

Hospitals
788
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 788 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
$45$62$105$148$202

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($45 vs $202).

How the prices are spread

$35 – $42: 28 hospitals$35$42 – $52: 70 hospitals$52 – $63: 63 hospitals$52$63 – $77: 80 hospitals$77 – $94: 76 hospitals$77$94 – $115: 79 hospitals$115 – $140: 135 hospitals$115$140 – $170: 82 hospitals$170 – $208: 68 hospitals$170$208 – $254: 29 hospitals$208median $105price bands are equal on a log scale
Hospitals per price band (710 of 788 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$4228
$42$5270
$52$6363
$63$7780
$77$9476
$94$11579
$115$140135
$140$17082
$170$20868
$208$25429

By state

The median cash price in each state, against the national median of $105.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $83 across 18 hospitalsME$83Vermont: median $128 across 10 hospitalsVT$128New Hampshire: median $79 across 10 hospitalsNH$79Washington: median $138 across 31 hospitalsWA$138Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $104 across 12 hospitalsMT$104North Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $173 across 32 hospitalsMN$173Illinois: median $118 across 26 hospitalsIL$118Wisconsin: median $138 across 36 hospitalsWI$138Michigan: median $65 across 36 hospitalsMI$65New York: median $112 across 47 hospitalsNY$112Massachusetts: median $93 across 20 hospitalsMA$93Oregon: median $129 across 22 hospitalsOR$129Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $120 across 36 hospitalsIA$120Indiana: median $57 across 28 hospitalsIN$57Ohio: median $64 across 27 hospitalsOH$64Pennsylvania: median $55 across 35 hospitalsPA$55New Jersey: 5 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $76 across 30 hospitalsCA$76Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $70 across 24 hospitalsCO$70Nebraska: median $126 across 17 hospitalsNE$126Missouri: median $85 across 20 hospitalsMO$85Kentucky: median $58 across 12 hospitalsKY$58West Virginia: median $74 across 18 hospitalsWV$74Virginia: median $108 across 20 hospitalsVA$108Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 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 $87 across 15 hospitalsKS$87Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $42 across 13 hospitalsTN$42North Carolina: median $93 across 22 hospitalsNC$93South Carolina: median $45 across 14 hospitalsSC$45Oklahoma: median $97 across 18 hospitalsOK$97Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $122 across 21 hospitalsGA$122Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $72 across 15 hospitalsTX$72Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $105. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN32$173+64%$116 – $202
Wisconsin WI36$138+32%$132 – $157
Washington WA31$138+31%$89 – $157
Oregon OR22$129+23%$83 – $176
Vermont VT10$128+22%$103 – $213
Nebraska NE17$126+20%$107 – $154
Georgia GA21$122+16%$122 – $130
Iowa IA36$120+14%$91 – $134
Illinois IL26$118+12%$54 – $161
New York NY47$112+7%$48 – $183
Virginia VA20$108+2%$48 – $602
Montana MT12$104−1%$76 – $213
Oklahoma OK18$97−7%$97 – $123
Massachusetts MA20$93−11%$78 – $232
North Carolina NC22$93−12%$48 – $109
Kansas KS15$87−17%$41 – $123
Missouri MO20$85−19%$48 – $124
Maine ME18$83−21%$41 – $134
New Hampshire NH10$79−25%$56 – $150
California CA30$76−27%$47 – $170
West Virginia WV18$74−30%$58 – $174
Texas TX15$72−31%$41 – $141
Colorado CO24$70−33%$54 – $183
Michigan MI36$65−39%$52 – $90
Ohio OH27$64−39%$52 – $69
Kentucky KY12$58−45%$54 – $102
Indiana IN28$57−46%$52 – $120
Pennsylvania PA35$55−48%$46 – $154
South Carolina SC14$45−57%$45 – $45
Tennessee TN13$42−60%$38 – $78
Alabama AL8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
New Jersey NJ5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not 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 $105.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care518$95$52 – $154
Children’s5fewer than 20 hospitals
Critical access263$122$69 – $165
Ownership
For-profit43$90$49 – $143
Government178$114$70 – $165
Non-profit565$105$52 – $157
System affiliation
Part of a system595$97$52 – $151
Independent193$121$67 – $182

Cash price vs list price

Median list price (chargemaster)$165
Median cash price$105
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

507 hospitals filed a usable inpatient cash price for this code. The median is $106 and the average of the middle 60% is $103; most fall between $54 and $161.

Cash price percentiles, inpatient, across 507 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
$45$59$106$149$202

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($45 vs $202).

Of the 543 hospitals that filed this code inpatient, 507 gave a usable cash price; 9 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

788 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 852 hospitals that filed this code at all gave us
Usable cash price — counted788
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) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded38
Hospitals that filed this code852

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 Advance Care Planning Ea Addl 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, each extra 30 minutes (CPT 99498) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99498-advance-care-planning-discussion-each-extra-30-minutes