CPT 99497 · 769 hospitals reporting

Opsvc-advncd care plan add 30

The same procedure costs $51.6 at one hospital and $820 at another — a 16× spread for what's billed under the same code. Median: $129.

Cheapest published

$51.6

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

Median across 769 hospitals

$129

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

Most expensive

$820

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

Price distribution

234 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
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT	OK	$171	$128	—	—	5 insurers
GUTHRIE COUNTY HOSPITAL	IA	$129	$129	—	—	5 insurers
COMMUNITY HOSPITAL ASSOCIATION	MO	$129	$129	—	—	1 insurers
BROADLAWNS MEDICAL CENTER	IA	$128	$128	—	—	5 insurers
OCHSNER CHOCTAW GENERAL	AL	$167	$127	—	—	5 insurers
FIRST CARE HEALTH CENTER	ND	$131	$131	—	—	1 insurers
FIRST CARE HEALTH CENTER	ND	$131	$131	—	—	4 insurers
BAXTER HEALTH FULTON COUNTY HOSPITAL	AR	$187	$131	—	—	5 insurers
CHATUGE REGIONAL HOSPITAL	GA	$252	$126	—	—	5 insurers
UP HEALTH SYSTEM PORTAGE	MI	$222	$133	—	—	0 insurers
DESOTO REGIONAL HEALTH SYSTEM	LA	$190	$133	—	—	5 insurers
CAMDEN CLARK MEDICAL CENTER	WV	$266	$133	—	—	5 insurers
STEPHENS MEMORIAL HOSPITAL	TX	$134	$134	—	—	5 insurers
JOHN H STROGER JR HOSPITAL	IL	$176	$123	—	—	5 insurers
PROVIDENT HOSPITAL OF CHICAGO	IL	$176	$123	—	—	5 insurers
NORTHEASTERN VERMONT REGIONAL HOSPITAL	VT	$164	$123	—	—	0 insurers
STEVENS COMMUNITY MEDICAL CENTER	MN	$179	$134	—	—	5 insurers
MUNSON HEALTHCARE CADILLAC HOSPITAL	MI	$159	$135	—	—	3 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$314	$122	—	—	1 insurers
YAVAPAI REGIONAL MEDICAL CENTER	AZ	$164	$122	$71.06	$159	5 insurers
CHESHIRE MEDICAL CENTER	NH	$492	$136	—	—	5 insurers
CHESHIRE MEDICAL CENTER	NH	$492	$136	—	—	5 insurers
USA HEALTH UNIVERSITY HOSPITAL	AL	$307	$121	—	—	5 insurers
THE UNIVERSITY HOSPITAL	NJ	$307	$121	—	—	5 insurers
UNIVERSITY HEALTH SYSTEM, INC	TN	$307	$121	—	—	5 insurers
THOMAS HOSPITAL	AL	$242	$121	—	—	5 insurers
DAVIS MEDICAL CENTER	WV	$172	$120	—	—	5 insurers
BROADDUS HOSPITAL ASSOCIATION, INC	WV	$172	$120	—	—	5 insurers
WEBSTER MEMORIAL HOSPITAL	WV	$172	$120	—	—	5 insurers
UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER	OH	$184	$138	—	—	0 insurers
RAINBOW BABIES AND CHILDRENS HOSPITAL	OH	$184	$138	—	—	1 insurers
SOUTHWESTERN VERMONT MEDICAL CENTER	VT	$170	$119	—	—	5 insurers
MOSAIC LIFE CARE AT ST JOSEPH	MO	$164	$139	—	—	3 insurers
MOSAIC MEDICAL CENTER ALBANY	MO	$164	$139	—	—	2 insurers
MOSAIC MEDICAL CENTER - MARYVILLE	MO	$164	$139	—	—	1 insurers
ELLIS HOSPITAL	NY	$235	$118	—	—	2 insurers
ELLIS HOSPITAL	NY	$235	$118	—	—	4 insurers
SCHNECK MEDICAL CENTER	IN	—	$140	$47.02	$170	5 insurers
UNIONTOWN HOSPITAL	PA	$234	$117	—	—	5 insurers
UNITED HOSPITAL CENTER, INC	WV	$234	$117	—	—	5 insurers