What does code 99221 cost?

Across the published hospital price files, the disclosed cash price for 99221 ranges from $152 to $638. 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.

99221 is the billing code hospitals use to identify "EH PR INITIAL HOSP INPT/OBSERV CARE,LEVL I (40 MINS)" 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.

99221

HCPCS

EH PR INITIAL HOSP INPT/OBSERV CARE,LEVL I (40 MINS)

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99221 (EH PR INITIAL HOSP INPT/OBSERV CARE,LEVL I (40 MINS)) appears at 26 hospitals with disclosed cash prices from $152 to $638. 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

Cash

List

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 99221 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 99221 vary by about 4.2× across the 5 hospitals with disclosed prices here — from $152 to $638. Shopping around can matter.

Hospitals

Prices shown

$152

Lowest cash

$638

Highest cash

code 99221 cash price5 disclosed · 5 hospitals

$152median ~$317$638

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$152 – $638

Healdsburg · 1 hospital$152
Naperville · 1 hospital$227
Valdez · 1 hospital$317
Seward · 1 hospital$415
Kodiak · 1 hospital$638

29 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
EH PR INITIAL HOSP INPT/OBSERV CARE,LEVL I (40 MINS) Inpatient & outpatient	Endeavor Health Edward Hospital	99221 HCPCS	$227	$227	—	—
Initial hospital care Outpatient	Endeavor Health Edward Hospital	99221 HCPCS	—	—	$207 – $207	—
Pr 1St Hospital Ip/Obs Care Sf/Low Mdm 40 Minutes Inpatient & outpatient	University of Chicago Medical Center	99221 HCPCS	—	—	—	—
Pr 1St Hospital Ip/Obs Care Sf/Low Mdm 40 Minutes-Pbb Inpatient & outpatient	University of Chicago Medical Center	99221 HCPCS	—	—	—	—
HC PR 99221 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES CDM Inpatient & outpatient	Providence Kodiak Island Medical Center	99221 HCPCS	$818	$638	—	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	Ronald Reagan UCLA Medical Center	99221 HCPCS	—	—	$34.30 – $34.30	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	UCLA Santa Monica Medical Center	99221 HCPCS	—	—	$34.30 – $34.30	—
HC PR 99221 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES CDM Inpatient & outpatient	Providence Seward Hospital	99221 HCPCS	$532	$415	—	—
HC PR 99221 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES CDM Inpatient & outpatient	Providence Valdez Medical Center	99221 HCPCS	$406	$317	—	—
HC PR 99221 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES CDM Inpatient & outpatient	Healdsburg Hospital	99221 HCPCS	$298	$152	—	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	UCLA West Valley Medical Center	99221 HCPCS	—	—	$34.30 – $34.30	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS Coushatta Health Care Center	99221 CPT	—	—	$3,632 – $3,632	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS Health - West Beaumont	99221 CPT	—	—	$177 – $4,626	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS Louisiana Surgical Hospital	99221 CPT	—	—	$994 – $3,060	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS Ochsner Lake Area Hospital	99221 CPT	—	—	$2,251 – $2,611	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS Ochsner St. Patrick Hospital	99221 CPT	—	—	$2,084 – $2,251	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS Shreveport-Bossier Health System-Highland	99221 CPT	—	—	$3,449 – $3,558	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS St. Francis Cabrini Hospital	99221 CPT	—	—	$2,814 – $2,966	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	CHRISTUS St. Vincent Regional Medical Center	99221 CPT	—	—	$552 – $914	—
02-Telehealth Provided Other than in Patient s Home-INITIAL HOSPITAL CARE PER DAY FOR THE Inpatient & outpatient	Jefferson Abington Hospital	99221 CPT	—	—	$50.77 – $245	—
02-Telehealth Provided Other than in Patient s Home-INITIAL HOSPITAL CARE PER DAY FOR THE Inpatient & outpatient	Jefferson Abington Hospital	99221 CPT	—	—	$50.77 – $245	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	Novant Health Ballantyne Medical Center	99221 CPT	—	—	—	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	Novant Health Brunswick Medical Center	99221 CPT	—	—	—	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	Novant Health Charlotte Orthopedic Hospital	99221 CPT	—	—	—	—
1ST HOSP IP/OBS SF/LOW 40 Outpatient	Novant Health Clemmons Medical Center	99221 CPT	—	—	—	—

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 99221 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 Providence Kodiak Island Medical Center Ronald Reagan UCLA Medical Center UCLA Santa Monica Medical Center Providence Seward Hospital Providence Valdez Medical Center Healdsburg Hospital UCLA West Valley Medical Center CHRISTUS Coushatta Health Care Center CHRISTUS Health - West Beaumont CHRISTUS Louisiana Surgical Hospital CHRISTUS Ochsner Lake Area Hospital CHRISTUS Ochsner St. Patrick Hospital CHRISTUS Shreveport-Bossier Health System-Highland CHRISTUS St. Francis Cabrini Hospital CHRISTUS St. Vincent Regional Medical Center Jefferson Abington Hospital Novant Health Ballantyne Medical Center Novant Health Brunswick Medical Center Novant Health Charlotte Orthopedic Hospital Novant Health Clemmons Medical Center Novant Health Forsyth Medical Center Novant Health Huntersville Medical Center Novant Health Kernersville Medical Center Novant Health Matthews Medical Center

Code 99221: frequently asked

What does code 99221 cost?: Across the published hospital price files, the disclosed cash price for 99221 ranges from $152 to $638. 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 99221?: 99221 is the billing code hospitals use to identify "EH PR INITIAL HOSP INPT/OBSERV CARE,LEVL I (40 MINS)" 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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