What does code 99211 cost?

Across the published hospital price files, the disclosed cash price for 99211 ranges from $10.20 to $538. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

99211 is the billing code hospitals use to identify "HC OUTPT EVAL AND MGNT EST PT LEVEL 1" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

99211

HCPCS

HC OUTPT EVAL AND MGNT EST PT LEVEL 1

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99211 (HC OUTPT EVAL AND MGNT EST PT LEVEL 1) appears at 34 hospitals with disclosed cash prices from $10.20 to $538. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

229

Cash

229

List

208

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 99211 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 99211 vary by about 53× across the 32 hospitals with disclosed prices here — from $10.20 to $538. Shopping around can matter.

Hospitals

248

Prices shown

$10.20

Lowest cash

$538

Highest cash

code 99211 cash price229 disclosed · 32 hospitals

$10.20median ~$52.70$538

Lowest cash price by hospital

Munson Healthcare Manistee Hospital$10.20
Munson Healthcare Charlevoix Hospital$16.15
Providence Alaska Medical Center$30.42
Providence St Joseph Medical Center$35.20
Kalkaska Memorial Health Center$39.10
Paul Oliver Memorial Hospital$41.65

Cash price by city

Reflects your current filters.

Cash price by city$10.20 – $116

Manistee · 1 hospital$10.20–$116
Charlevoix · 1 hospital$16.15–$116
Anchorage · 1 hospital$30.42
Polson · 1 hospital$35.20–$114
Kalkaska · 1 hospital$39.10–$112
Frankfort · 1 hospital$41.65–$80.75

248 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC OUTPT EVAL AND MGNT EST PT LEVEL 1 Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$174	$174	—	—
HC OUTPT EVAL AND MGNT EST PT LEVEL 1 W PROCED Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$174	$174	—	—
HC TAVR OUTPT E&M EST PT LEVEL 1 Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$174	$174	—	—
HC TAVR OUTPT E&M EST PT LEVEL 1 W PROCED Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$174	$174	—	—
HC PAH OUTPT E&M EST PT LEVEL 1 Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$174	$174	—	—
HC WOUND/OSTOMY CARE EST PT 0-15 MIN Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$88.00	$88.00	—	—
HC CARDIAC REHAB PHASE I Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$280	$280	—	—
EH PR OUTPT EVAL AND MGNT EST PT LEVEL 1 Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$62.00	$62.00	—	—
EH PR OUTPT EVAL AND MGNT EST PT LEVEL 1 W PROCED Inpatient & outpatient	Endeavor Health Edward Hospital	99211 HCPCS	$62.00	$62.00	—	—
Office/outpatient visit est Outpatient	Endeavor Health Edward Hospital	99211 HCPCS	—	—	$21.34 – $21.34	—
Hc Evaluation And Management Return Patient Level 1 Inpatient & outpatient	University of Chicago Medical Center	99211 HCPCS	—	—	—	—
Hc Evaluation And Management Return Patient Level 1-Pbb Inpatient & outpatient	University of Chicago Medical Center	99211 HCPCS	—	—	—	—
Pr Office/Outpatient Est Pt May Not Req Phys/Qhp Inpatient & outpatient	University of Chicago Medical Center	99211 HCPCS	—	—	—	—
Pr Office/Outpatient Est Pt May Not Req Phys/Qhp-Pbb Inpatient & outpatient	University of Chicago Medical Center	99211 HCPCS	—	—	—	—
Office/outpatient visit est Outpatient	University of Chicago Medical Center	99211 HCPCS	—	—	—	—
OP SERV MINOR ACUITY-EST PT Outpatient	Advocate Illinois Masonic Medical Center	99211 CPT	$180	$90.00	$62.82 – $147	—
HB LEVEL 1 EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99211 HCPCS	$145	$145	—	—
HB LEVEL 1 COLPOSCOPY EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99211 HCPCS	$145	$145	—	—
HB OPD LEVEL 1 EST PT VISIT Inpatient & outpatient	Endeavor Health Swedish Hospital	99211 HCPCS	$145	$145	—	—
OSTM OP SERV MINOR ACUITY-EST PT. Outpatient	Advocate Condell Medical Center	99211 CPT	$180	$90.00	$70.92 – $166	—
OP SERV MINOR ACUITY-EST PT Outpatient	Advocate Good Samaritan Hospital	99211 CPT	$180	$90.00	$62.82 – $144	—
OP SERV MINOR ACUITY-EST PT Outpatient	Advocate South Suburban Hospital	99211 CPT	$180	$90.00	$62.82 – $175	—
FMS-EST PT Visit Only Lvl I Inpatient	Springfield Memorial Hospital	99211 CPT	$249	$249	$99.60 – $249	—
FMS-EST PT Visit Only Lvl I Outpatient	Springfield Memorial Hospital	99211 CPT	$249	$249	$56.02 – $249	—
FMS-EST PT Visit Only Lvl I Inpatient	Decatur Memorial Hospital	99211 CPT	$179	$179	$82.34 – $179	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 99211 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Endeavor Health Swedish Hospital Advocate Condell Medical Center Advocate Good Samaritan Hospital Advocate South Suburban Hospital Springfield Memorial Hospital Decatur Memorial Hospital Froedtert Menomonee Falls Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Kalkaska Memorial Health Center Paul Oliver Memorial Hospital Munson Healthcare Grayling Munson Healthcare Cadillac Munson Medical Center Providence Alaska Medical Center Providence Kodiak Island Medical Center Stanford Health Care Stanford Health Care Tri-Valley Providence Valdez Medical Center Healdsburg Hospital Providence St Joseph Medical Center Jefferson Abington Hospital

Code 99211: frequently asked

What does code 99211 cost?: Across the published hospital price files, the disclosed cash price for 99211 ranges from $10.20 to $538. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 99211?: 99211 is the billing code hospitals use to identify "HC OUTPT EVAL AND MGNT EST PT LEVEL 1" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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