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Procedure price report · Consultation, evaluation, and preventative care

Unlisted office or hospital evaluation service

CPT 99499the billing code this page is about

Used for an evaluation and management service that has no specific code of its own; the provider submits a description of what was done.

Hospitals typically charge $64 cash for this outpatient procedure — the median across 569 hospitals that filed a usable cash price; the average of the middle 60% is $64. Most fall between $24 and $139 (20th–80th percentile).

Hospitals
569
States
47
Filings dated
Dec 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 569 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
$15$30$64$104$204

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($15 vs $204).

How the prices are spread

$10 – $14: 31 hospitals$10$14 – $20: 28 hospitals$20 – $28: 57 hospitals$20$28 – $39: 52 hospitals$39 – $56: 64 hospitals$39$56 – $78: 117 hospitals$78 – $110: 63 hospitals$78$110 – $155: 38 hospitals$155 – $219: 49 hospitals$155$219 – $308: 20 hospitals$219median $64price bands are equal on a log scale
Hospitals per price band (519 of 569 — the bands cover the 5th to 95th percentile)
FromToHospitals
$10$1431
$14$2028
$20$2857
$28$3952
$39$5664
$56$78117
$78$11063
$110$15538
$155$21949
$219$30820

By state

The median cash price in each state, against the national median of $64.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $50 across 18 hospitalsWA$50Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $71 across 11 hospitalsMT$71North Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $57 across 27 hospitalsMN$57Illinois: median $49 across 48 hospitalsIL$49Wisconsin: median $26 across 30 hospitalsWI$26Michigan: median $78 across 29 hospitalsMI$78New York: median $50 across 18 hospitalsNY$50Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $57 across 25 hospitalsOR$57Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $104 across 15 hospitalsIA$104Indiana: median $20 across 10 hospitalsIN$20Ohio: median $49 across 24 hospitalsOH$49Pennsylvania: median $38 across 12 hospitalsPA$38New Jersey: no hospital in the corpus filed a usable priceNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $36 across 20 hospitalsCA$36Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $90 across 22 hospitalsCO$90Nebraska: median $130 across 11 hospitalsNE$130Missouri: median $1,313 across 14 hospitalsMO$1,313Kentucky: median $151 across 11 hospitalsKY$151West Virginia: median $10 across 20 hospitalsWV$10Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $56 across 14 hospitalsKS$56Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 3 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $64 across 83 hospitalsTX$64Florida: median $88 across 10 hospitalsFL$88
Cash price by state, most expensive first. National median $64. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Missouri MO14$1,313+1965%$28 – $3,003
Kentucky KY11$151+137%$75 – $304
Nebraska NE11$130+104%$26 – $175
Iowa IA15$104+63%$59 – $167
Colorado CO22$90+41%$77 – $158
Florida FL10$88+39%$23 – $98
Michigan MI29$78+22%$38 – $100
Montana MT11$71+12%$35 – $110
Texas TX83$640%$34 – $64
Oregon OR25$57−10%$24 – $216
Minnesota MN27$57−10%$45 – $94
Kansas KS14$56−12%$20 – $140
New York NY18$50−21%$13 – $185
Washington WA18$50−21%$24 – $72
Ohio OH24$49−23%$49 – $206
Illinois IL48$49−24%$30 – $72
Pennsylvania PA12$38−40%$13 – $185
California CA20$36−43%$8 – $97
Wisconsin WI30$26−59%$21 – $74
Indiana IN10$20−69%$11 – $242
West Virginia WV20$10−84%$10 – $16
New Mexico NM8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Oklahoma OK3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Vermont VT1not 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 $64.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care349$64$24 – $141
Children’s12fewer than 20 hospitals
Critical access207$60$23 – $134
Ownership
For-profit33$64$20 – $143
Government132$66$28 – $122
Non-profit403$60$23 – $144
System affiliation
Part of a system431$64$23 – $144
Independent138$60$28 – $122

Cash price vs list price

Median list price (chargemaster)$105
Median cash price$64
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

375 hospitals filed a usable inpatient cash price for this code. The median is $64 and the average of the middle 60% is $70; most fall between $33 and $151.

Cash price percentiles, inpatient, across 375 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
$20$39$64$113$252

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($20 vs $252).

Of the 409 hospitals that filed this code inpatient, 375 gave a usable cash price; 2 carried a plausibility flag, 12 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

569 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 647 hospitals that filed this code at all gave us
Usable cash price — counted569
Cash price carrying a plausibility flag — shown on the compare tool, excluded here11
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded13
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded49
Hospitals that filed this code647

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 PR Psychiatric Unlisted Code.

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, “Unlisted office or hospital evaluation service (CPT 99499) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99499-unlisted-office-or-hospital-evaluation-service