CPT 99058
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Office emergency care
Low
$15
Average
$51
Median
$68
High
$80
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16 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 3 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 5 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 7 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 12 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $80 | $80 | $9 | 11% | — | $71 – $89 |
| 13 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 14 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 15 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 16 | WILLITS HOSPITAL INC Willits, CA fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
← Payers reporting CPT 99058 · Snapshot 20261113T090226Z-3ce6c0b8