CPT 99221 · 737 hospitals reporting

1st hosp ip/obs sf/low 40

The same procedure costs $50.82 at one hospital and $1,036 at another — a 20× spread for what's billed under the same code. Median: $164.

Cheapest published

$50.82

14 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 737 hospitals

$164

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$1,036

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

353 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
REGIONAL MEDICAL CENTER	IA	$205	$164	—	—	3 insurers
SOUTHWESTERN VERMONT MEDICAL CENTER	VT	$234	$164	—	—	5 insurers
PEACEHEALTH SOUTHWEST MEDICAL CENTER	WA	$251	$163	—	—	5 insurers
GOOD SHEPHERD MEDICAL CENTER	OR	$332	$166	—	—	2 insurers
PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER	OR	$248	$161	—	—	0 insurers
PEACE HARBOR MEDICAL CENTER	OR	$248	$161	—	—	0 insurers
NIOBRARA VALLEY HOSPITAL	NE	$161	$161	—	—	0 insurers
WELLSPAN YORK HOSPITAL	PA	$201	$161	—	—	5 insurers
CARLE FOUNDATION HOSPITAL	IL	$168	$168	—	—	2 insurers
GREATER BALTIMORE MEDICAL CENTER	MD	$168	$168	—	—	5 insurers
SAUNDERS MEDICAL CENTER	NE	$224	$168	—	—	0 insurers
MARLETTE REGIONAL HOSPITAL	MI	$168	$168	—	—	5 insurers
SIOUX FALLS SPECIALTY HOSPITAL	SD	$225	$169	$109	$225	5 insurers
FRANKLIN HOSPITAL	IL	$226	$170	—	—	5 insurers
RANGE REGIONAL HEALTH SERVICES	MN	$372	$158	—	—	5 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$406	$158	—	—	1 insurers
CALDWELL MEDICAL CENTER	KY	$210	$158	—	—	5 insurers
LORING HOSPITAL	IA	$197	$158	—	—	0 insurers
GRAND ITASCA CLINIC AND HOSPITAL	MN	$371	$158	—	—	5 insurers
M HEALTH FAIRVIEW RIDGES HOSPITAL	MN	$369	$157	—	—	5 insurers
CHARLESTON AREA MEDICAL CENTER	WV	$208	$156	—	—	0 insurers
PENOBSCOT VALLEY HOSPITAL	ME	$215	$172	—	—	5 insurers
LIBERTY REGIONAL MEDICAL CENTER	GA	$205	$154	—	—	5 insurers
SUSAN B ALLEN MEMORIAL HOSPITAL	KS	$269	$175	—	—	2 insurers
MIZELL MEMORIAL HOSPITAL	AL	$170	$153	—	—	5 insurers
REDINGTON FAIRVIEW GENERAL HOSPITAL	ME	$204	$153	—	—	5 insurers
CLARKE COUNTY HOSPITAL	IA	$175	$175	—	—	5 insurers
MOSAIC LIFE CARE AT ST JOSEPH	MO	$178	$151	—	—	3 insurers
NORTHFIELD HOSPITAL	MN	$359	$151	—	—	4 insurers
ELLIS HOSPITAL	NY	$301	$151	—	—	2 insurers
ELLIS HOSPITAL	NY	$301	$151	—	—	4 insurers
VALLEY MEDICAL CENTER	WA	$254	$178	$101	$203	0 insurers
ROSEBUD HEALTH CARE CENTER	MT	$178	$178	—	—	4 insurers
LINDSAY MUNICIPAL HOSPITAL	OK	$179	$179	—	—	1 insurers
CALDWELL MEMORIAL HOSPITAL, INC	LA	$149	$149	—	—	5 insurers
CALDWELL MEMORIAL HOSPITAL	NC	$149	$149	—	—	5 insurers
ACADIA ST LANDRY	LA	$198	$149	—	—	0 insurers
OSWEGO HOSPITAL	NY	$198	$149	—	—	5 insurers
TRINITY ROCK ISLAND	IL	$227	$182	—	—	4 insurers
UNITYPOINT HEALTH - MARSHALLTOWN	IA	$227	$182	—	—	5 insurers