Procedure family

Consultation, evaluation, and preventative care

122 procedures in this family have a price report — each priced by at least 100 hospitals in their published price files. The median shown is the outpatient cash price; a dash means the page reports a different setting.

Median cash prices in this family run from $15 to $1,728. The most widely priced is Emergency room visit, level 3 of 5, with a usable price at 3,484 hospitals.

Procedures, most widely priced first

Outpatient median cash price and the number of hospitals with a usable price.
Procedure	Code	Median cash price	Hospitals
Emergency room visit, level 3 of 5CPT 99283	CPT 99283	$537	3,484
Emergency room visit, level 4 of 5CPT 99284	CPT 99284	$864	3,480
Emergency room visit, level 2 of 5CPT 99282	CPT 99282	$323	3,477
Emergency room visit, highest levelCPT 99285	CPT 99285	$1,251	3,465
Emergency room visit, lowest levelCPT 99281	CPT 99281	$185	3,448
Critical care, first 30 to 74 minutesCPT 99291	CPT 99291	$1,728	3,408
Critical care, each additional 30 minutesCPT 99292	CPT 99292	$523	3,164
Brief office visit for an existing patient (level 1)CPT 99211	CPT 99211	$64	2,896
Office visit for an existing patient, moderate levelCPT 99213	CPT 99213	$118	2,789
Short office visit for an existing patientCPT 99212	CPT 99212	$89	2,780
Office visit, established patient, moderate complexityCPT 99214	CPT 99214	$157	2,758
Office visit, established patient, high complexityCPT 99215	CPT 99215	$206	2,693
Office visit for a new patient, low complexity (level 3)CPT 99203	CPT 99203	$153	2,597
Office visit for a new patient, moderate complexityCPT 99204	CPT 99204	$208	2,580
Office visit for a new patient, straightforward (level 2)CPT 99202	CPT 99202	$110	2,571
Quit-smoking counseling, 3 to 10 minutesCPT 99406	CPT 99406	$36	2,549
Office visit for a new patient, high complexity (level 5)CPT 99205	CPT 99205	$262	2,522
Quit-smoking counseling, more than 10 minutesCPT 99407	CPT 99407	$51	2,287
Newborn resuscitation at deliveryCPT 99465	CPT 99465	$657	1,753
Car seat breathing test for an infant, first 60 minutesCPT 94780	CPT 94780	$108	1,539
Car seat breathing test for an infant, each extra 30 minutesCPT 94781	CPT 94781	$55	1,362
Preventive checkup, returning patient age 18 to 39CPT 99395	CPT 99395	$139	1,262
Preventive checkup, returning patient age 40 to 64CPT 99396	CPT 99396	$150	1,262
First hospital or observation visit, lower complexityCPT 99221	CPT 99221	$168	1,255
Preventive checkup, new patient age 18 to 39CPT 99385	CPT 99385	$157	1,243
Daily hospital visit, moderate complexityCPT 99232	CPT 99232	$132	1,241
First hospital or observation visit, moderate complexityCPT 99222	CPT 99222	$243	1,237
First hospital or observation visit, high complexityCPT 99223	CPT 99223	$336	1,223
Preventive checkup, new patient age 40 to 64CPT 99386	CPT 99386	$176	1,216
Daily hospital visit, lower complexityCPT 99231	CPT 99231	$81	1,205
Preventive checkup, returning patient age 65 and olderCPT 99397	CPT 99397	$162	1,203
Daily hospital visit, high complexityCPT 99233	CPT 99233	$193	1,194
Doctor attending a delivery to stabilize the newbornCPT 99464	CPT 99464	$180	1,193
Hospital discharge day, 30 minutes or lessCPT 99238	CPT 99238	$146	1,181
Preventive checkup, returning patient age 12 to 17CPT 99394	CPT 99394	$130	1,180
Advance care planning discussion, first 30 minutesCPT 99497	CPT 99497	$120	1,167
Preventive checkup, new patient age 12 to 17CPT 99384	CPT 99384	$154	1,152
Hospital discharge day, more than 30 minutesCPT 99239	CPT 99239	$202	1,137
Preventive checkup, new patient age 65 and olderCPT 99387	CPT 99387	$191	1,110
Preventive checkup, returning patient age 5 to 11CPT 99393	CPT 99393	$123	1,107
Preventive checkup, new patient age 5 to 11CPT 99383	CPT 99383	$142	1,098
Preventive checkup, returning patient age 1 to 4CPT 99392	CPT 99392	$129	1,089
Preventive checkup, returning patient under age 1CPT 99391	CPT 99391	$123	1,087
Preventive check-up for a new patient age 1 to 4CPT 99382	CPT 99382	$140	1,060
Preventive check-up for a new patient under age 1CPT 99381	CPT 99381	$141	1,057
Hospital stay admitted and discharged same day, middle levelCPT 99235	CPT 99235	$328	1,048
Specialist clinic consultation, moderate-complexity visitCPT 99244	CPT 99244	$244	1,021
Hospital stay admitted and discharged same day, lower levelCPT 99234	CPT 99234	$235	1,014
Hospital admission and discharge on the same day, high levelCPT 99236	CPT 99236	$416	1,010
Specialist clinic consultation, low-complexity visitCPT 99243	CPT 99243	$175	988
Extra 15 minutes with the provider at an office visitCPT 99417	CPT 99417	$57	984
Specialist clinic consultation, straightforward visitCPT 99242	CPT 99242	$125	957
Specialist clinic consultation, high-complexity visitCPT 99245	CPT 99245	$298	904
Health risk counseling, one person, about 15 minutesCPT 99401	CPT 99401	$60	869
Chronic care management by staff, 20 minutes a monthCPT 99490	CPT 99490	$88	862
Health risk counseling, one person, about 30 minutesCPT 99402	CPT 99402	$100	821
Advance care planning discussion, each extra 30 minutesCPT 99498	CPT 99498	$105	788
Hospital specialist consultation, low-complexity visitCPT 99253	CPT 99253	$196	747
Hospital specialist consultation, straightforward visitCPT 99252	CPT 99252	$140	725
Hospital specialist consultation, moderate-complexity visitCPT 99254	CPT 99254	$273	699
Newborn care in hospital or birth center, first dayCPT 99460	CPT 99460	$173	673
Health risk counseling, one person, about 45 minutesCPT 99403	CPT 99403	$134	669
Health risk counseling, one person, about 60 minutesCPT 99404	CPT 99404	$175	658
Complex monthly care coordination, first 60 minutesCPT 99487	CPT 99487	$160	650
Hospital specialist consultation, high-complexity visitCPT 99255	CPT 99255	$345	642
Care team meeting with the patient, non-physician clinicianCPT 99366	CPT 99366	$98	634
Extended care work without the patient present, first hourCPT 99358	CPT 99358	$174	629
Added charge for a pelvic examinationCPT 99459	CPT 99459	$47	607
Complex monthly care coordination, each extra 30 minutesCPT 99489	CPT 99489	$74	584
Newborn care when admitted and discharged the same dayCPT 99463	CPT 99463	$205	584
Unlisted office or hospital evaluation serviceCPT 99499	CPT 99499	$64	569
Follow-up newborn care in hospital, per dayCPT 99462	CPT 99462	$79	566
Staff chronic care management, each extra 20 minutesCPT 99439	CPT 99439	$65	552
Medical genetics visit and counseling, each 30 minutesCPT 96041	CPT 96041	$136	548
Extra 15 minutes with the provider in hospital careCPT 99418	CPT 99418	$70	522
Disability or work injury exam by the treating doctorCPT 99455	CPT 99455	$120	467
Genital and anal exam of a child with photo documentationCPT 99170	CPT 99170	$238	440
Newborn intensive care, first day (28 days old or younger)CPT 99468	CPT 99468	$1,668	428
Care team meeting about a patient, non-physician, no patientCPT 99368	CPT 99368	$88	408
Blood thinner dose management after a clotting testCPT 93793	CPT 93793	$22	407
Newborn intensive observation care, first dayCPT 99477	CPT 99477	$630	392
Doctor on standby, each 30 minutesCPT 99360	CPT 99360	$130	362
Chronic care management by a doctor, 30 minutes a monthCPT 99491	CPT 99491	$130	352
Care team meeting without the patient, physicianCPT 99367	CPT 99367	$116	350
Newborn intensive care, follow-up dayCPT 99469	CPT 99469	$718	337
Staff care management for one illness, first 30 minutesCPT 99426	CPT 99426	$99	337
Critical care during transport, child 2 or under, 30-74 minCPT 99466	CPT 99466	$434	326
Infant intensive care day, 2,501 to 5,000 gramsCPT 99480	CPT 99480	$218	323
Extra charge for care outside normal office hoursCPT 99050	CPT 99050	$31	322
Disability or work-related exam by a non-treating doctorCPT 99456	CPT 99456	$169	320
Extended nurse or staff time during a visit, first hourCPT 99415	CPT 99415	$27	316
Infant intensive care day, 1,500 to 2,500 gramsCPT 99479	CPT 99479	$227	298
Group health education class led by a clinicianCPT 99078	CPT 99078	$56	293
Group preventive health counseling, about 60 minutesCPT 99412	CPT 99412	$45	279
Critical care during transport, child, each extra 30 minCPT 99467	CPT 99467	$209	278
Review of patient data sent from home, 30 minutesCPT 99091	CPT 99091	$102	271
Group preventive health counseling, about 30 minutesCPT 99411	CPT 99411	$29	269
Staff care management for one illness, extra 30 minutesCPT 99427	CPT 99427	$64	261
Infant intensive care day, under 1,500 gramsCPT 99478	CPT 99478	$246	255
Extended staff time during a visit, each extra 30 minutesCPT 99416	CPT 99416	$15	252
Infant intensive care, first day (29 days to 24 months)CPT 99471	CPT 99471	$1,403	247
Home dialysis training, course not completedCPT 90993	CPT 90993	$259	244
Newborn care outside a hospital or birth center, first dayCPT 99461	CPT 99461	$143	226
Infant intensive care, each later day (29 days to 24 months)CPT 99472	CPT 99472	$724	225
Home dialysis training, full course completedCPT 90989	CPT 90989	$715	216
Emergency care that disrupts office schedulingCPT 99058	CPT 99058	$52	205
Basic exam for a life or disability insurance applicationCPT 99450	CPT 99450	$100	186
Child intensive care, first day (ages 2 through 5)CPT 99475	CPT 99475	$1,017	185
Group parent behavior training, each extra 15 minutesCPT 96203	CPT 96203	$17	184
Child intensive care, each later day (ages 2 through 5)CPT 99476	CPT 99476	$622	183
Group parent training for behavior problems, first 60 minCPT 96202	CPT 96202	$57	183
Routine follow-up visit after surgery, no extra chargeCPT 99024	CPT 99024	$121	173
Doctor directing ambulance crew by radio or phoneCPT 99288	CPT 99288	$206	170
Doctor-led care management for one illness, first 30 minutesCPT 99424	CPT 99424	$126	169
Unlisted preventive medicine serviceCPT 99429	CPT 99429	$60	169
Care during scheduled evening, weekend, or holiday hoursCPT 99051	CPT 99051	$33	168
Doctor-led chronic care management, extra 30 minutesCPT 99437	CPT 99437	$108	165
Doctor-led care management for one illness, extra 30 minutesCPT 99425	CPT 99425	$91	158
Remote doctor supervision of child transfer, first 30 minCPT 99485	CPT 99485	$137	127
Remote direction of a child's transport, extra 30 minutesCPT 99486	CPT 99486	$121	115
Care between 10 pm and 8 am at a 24-hour facilityCPT 99053	CPT 99053	$39	106
Body composition test using bioelectrical impedanceCPT 0358T	CPT 0358T	$53	104

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