CPT 99386 · 568 hospitals reporting

Pr init prev e/m new age 40-64 yrs

The same procedure costs $53 at one hospital and $1,049 at another — a 20× spread for what's billed under the same code. Median: $159.

Cheapest published

$53

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

Median across 568 hospitals

$159

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

Most expensive

$1,049

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

Price distribution

285 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
GATEWAY REGIONAL MEDICAL CENTER	IL	—	$159	—	—	0 insurers
TALLAHATCHIE GENERAL HOSPITAL-CAH	MS	$227	$159	—	—	5 insurers
ROSEBUD HEALTH CARE CENTER	MT	$158	$158	—	—	5 insurers
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER	OH	$214	$161	—	—	1 insurers
NORTHEASTERN VERMONT REGIONAL HOSPITAL	VT	$209	$157	—	—	0 insurers
F W HUSTON MEDICAL CENTER	KS	$195	$156	—	—	4 insurers
WETZEL COUNTY HOSPITAL	WV	$324	$162	—	—	2 insurers
WASHINGTON REGIONAL MEDICAL CENTER	AR	$207	$155	—	—	5 insurers
OZARKS COMMUNITY HOSPITAL OF GRAVETTE	AR	$651	$155	—	—	5 insurers
ADVENTHEALTH SHAWNEE MISSION	KS	$459	$153	—	—	0 insurers
ADVENTHEALTH CENTRAL TEXAS	TX	$459	$153	—	—	0 insurers
ADVENTHEALTH ROLLINS BROOK	TX	$459	$153	—	—	0 insurers
BAXTER HEALTH	AR	$254	$153	—	—	0 insurers
CHICOT MEMORIAL MEDICAL CENTER	AR	$150	$150	—	—	5 insurers
CHICOT MEMORIAL MEDICAL CENTER	AR	$150	$150	—	—	5 insurers
WILLS MEMORIAL HOSPITAL	GA	$200	$150	—	—	0 insurers
OCHSNER CHOCTAW GENERAL	AL	$196	$149	—	—	5 insurers
UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER	OH	$198	$149	—	—	0 insurers
ATRIUM HEALTH FLOYD MEDICAL CENTER	GA	$295	$148	—	—	2 insurers
WETZEL COUNTY HOSPITAL	WV	$341	$171	—	—	2 insurers
SIOUX CENTER HEALTH	IA	$177	$172	—	—	5 insurers
NORTH HAWAII COMMUNITY HOSPITAL, INC	HI	$209	$146	—	—	2 insurers
POTOMAC VALLEY HOSPITAL	WV	$292	$146	—	—	0 insurers
CARILION STONEWALL JACKSON HOSPITAL	VA	$243	$146	$55.89	$233	1 insurers
ST JOSEPH'S MEDICAL CENTER	NY	$1,894	$145	—	—	5 insurers
BRADLEY COUNTY MEDICAL CENTER	AR	$285	$143	—	—	5 insurers
GLENCOE REGIONAL HEALTH	MN	$142	$142	—	—	1 insurers
MARGARET MARY COMMUNITY HOSPITAL INC	IN	$176	$176	—	—	0 insurers
BROADLAWNS MEDICAL CENTER	IA	$141	$141	—	—	5 insurers
NEVADA REGIONAL MEDICAL CENTER	MO	$178	$178	$34	$301	0 insurers
MAGNOLIA REGIONAL MEDICAL HOSPITAL	AR	$233	$140	—	—	0 insurers
WHITESBURG ARH HOSPITAL	KY	$233	$140	—	—	2 insurers
HAZARD ARH REGIONAL MEDICAL CENTER	KY	$233	$140	—	—	2 insurers
PAINTSVILLE ARH HOSPITAL	KY	$233	$140	—	—	5 insurers
MCDOWELL ARH HOSPITAL	KY	$233	$140	—	—	5 insurers
BECKLEY ARH HOSPITAL	WV	$233	$140	—	—	1 insurers
TMC- BONHAM HOSPITAL	TX	$466	$140	—	—	4 insurers
SIOUX CENTER HEALTH	IA	$144	$140	—	—	5 insurers
SIOUX CENTER HEALTH	IA	$144	$140	—	—	5 insurers
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON	MI	$279	$140	—	—	1 insurers