What does code 98967 cost?

Across the published hospital price files, the disclosed cash price for 98967 ranges from $3.10 to $311. 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.

98967 is the billing code hospitals use to identify "HC TELEPHONE ASSESS AND MGNT QUALIFIED NON-MD PROF EST PT 11-20 MIN MEDICAL DISCUSSION" 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.

98967

HCPCS

HC TELEPHONE ASSESS AND MGNT QUALIFIED NON-MD PROF EST PT 11-20 MIN MEDICAL DISCUSSION

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 98967 (HC TELEPHONE ASSESS AND MGNT QUALIFIED NON-MD PROF EST PT 11-20 MIN MEDICAL DISCUSSION) appears at 16 hospitals with disclosed cash prices from $3.10 to $311. 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 98967 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 98967 vary by about 100× across the 15 hospitals with disclosed prices here — from $3.10 to $311. Shopping around can matter.

Hospitals

Prices shown

$3.10

Lowest cash

$311

Highest cash

code 98967 cash price17 disclosed · 15 hospitals

$3.10median ~$82.50$311

Lowest cash price by hospital

Providence Saint John's Health Center$3.10
Providence St Joseph Medical Center$32.00
Munson Healthcare Cadillac$43.35
Advocate Illinois Masonic Medical Center$82.50
Advocate Lutheran General Hospital$82.50
Advocate Condell Medical Center$82.50

Cash price by city

Reflects your current filters.

Cash price by city$3.10 – $82.50

Santa Monica · 1 hospital$3.10
Polson · 1 hospital$32.00–$36.80
Cadillac · 1 hospital$43.35
Chicago · 1 hospital$82.50
Park Ridge · 1 hospital$82.50
Libertyville · 1 hospital$82.50

19 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC TELEPHONE ASSESS AND MGNT QUALIFIED NON-MD PROF EST PT 11-20 MIN MEDICAL DISCUSSION Inpatient & outpatient	Endeavor Health Edward Hospital	98967 HCPCS	$311	$311	—	—
Hc pro phone call 11-20 min Outpatient	Endeavor Health Edward Hospital	98967 HCPCS	—	—	$21.04 – $96.80	—
Hc pro phone call 11-20 min Outpatient	University of Chicago Medical Center	98967 HCPCS	—	—	—	—
HC PRO PHONE CALL 11-20 MIN Outpatient	Advocate Illinois Masonic Medical Center	98967 CPT	$165	$82.50	$36.06 – $147	—
HC PRO PHONE CALL 11-20 MIN Inpatient	Advocate Lutheran General Hospital	98967 CPT	$165	$82.50	$72.11 – $132	—
HC PRO PHONE CALL 11-20 MIN Outpatient	Advocate Condell Medical Center	98967 CPT	$165	$82.50	$36.06 – $132	—
HC PRO PHONE CALL 11-20 MIN Outpatient	Advocate South Suburban Hospital	98967 CPT	$165	$82.50	$36.06 – $161	—
HC PRO PHONE CALL 11-20 MIN Inpatient	Aurora BayCare Medical Center	98967 CPT	$165	$82.50	$99.00 – $140	—
HC PRO PHONE CALL 11-20 MIN Inpatient	Aurora Medical Center Burlington	98967 CPT	$165	$82.50	$99.00 – $140	—
HC PRO PHONE CALL 11-20 MIN Inpatient	Aurora Medical Center Bay Area	98967 CPT	$165	$82.50	$99.00 – $140	—
HC PRO PHONE CALL 11-20 MIN Inpatient	Aurora Medical Center Fond du Lac	98967 CPT	$165	$82.50	$99.00 – $140	—
HC PRO PHONE CALL 11-20 MIN Inpatient	Aurora Medical Center Grafton	98967 CPT	$165	$82.50	$99.00 – $140	—
HC PRO PHONE CALL 11-20 MIN Inpatient	Aurora Medical Center Kenosha	98967 CPT	$165	$82.50	$99.00 – $140	—
HC PRO PHONE CALL 11-20 MIN Inpatient	Aurora Lakeland Medical Center	98967 CPT	$165	$82.50	$99.00 – $140	—
Telephone assessment 11-20 minutes of medical discussion 98967 Inpatient	Munson Healthcare Cadillac	98967 CPT	$51.00	$43.35	$30.60 – $852	—
HC LA NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN CDM Outpatient	Providence Saint John's Health Center	98967 HCPCS	$8.86	$3.10	—	—
HC PR 98967 NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN RHC Outpatient	Providence St Joseph Medical Center	98967 HCPCS	$46.00	$36.80	—	—
HC PR 98967 PHONE ASSESSMENT BY NONPHYSICIAN 11-20 MIN CDM Inpatient & outpatient	Providence St Joseph Medical Center	98967 HCPCS	$40.00	$32.00	—	—
HC PR 98967 PHONE ASSESSMENT BY NONPHYSICIAN 11-20 MIN CDM Outpatient	Providence St Joseph Medical Center	98967 HCPCS	$44.00	$35.20	—	—

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 98967 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 Advocate Lutheran General Hospital Advocate Condell Medical Center Advocate South Suburban Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Munson Healthcare Cadillac Providence Saint John's Health Center Providence St Joseph Medical Center

Code 98967: frequently asked

What does code 98967 cost?: Across the published hospital price files, the disclosed cash price for 98967 ranges from $3.10 to $311. 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 98967?: 98967 is the billing code hospitals use to identify "HC TELEPHONE ASSESS AND MGNT QUALIFIED NON-MD PROF EST PT 11-20 MIN MEDICAL DISCUSSION" 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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