What does code 99461 cost?

Across the published hospital price files, the disclosed cash price for 99461 ranges from $224 to $4,729. 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.

99461 is the billing code hospitals use to identify "Init nb em per day non-fac" 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.

99461

CPTEvaluation & Management

Init nb em per day non-fac

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99461 (Init nb em per day non-fac) appears at 3 hospitals with disclosed cash prices from $224 to $4,729. 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

Compare 99461 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 99461 vary by about 21× across the 2 hospitals with disclosed prices here — from $224 to $4,729. Shopping around can matter.

Hospitals

Prices shown

$224

Lowest cash

$4,729

Highest cash

code 99461 cash price2 disclosed · 2 hospitals

$224median ~$2,476$4,729

Lowest cash price by hospital

Central Vermont Medical Center$224
Sharp Chula Vista Medical Center$4,729

Cash price by city

Reflects your current filters.

Cash price by city$224 – $4,729

Berlin · 1 hospital$224
Chula Vista · 1 hospital$4,729

3 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Init nb em per day non-fac Outpatient	Endeavor Health Edward Hospital	99461 HCPCS	—	—	$190 – $190	—
PR 1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER Inpatient & outpatient	Central Vermont Medical Center	99461 CPT	$224	$224	$55.73 – $232	—
Bearing Knee Ascent Plstc 18x79 To 83 Mm Stabilized Outpatient	Sharp Chula Vista Medical Center	99461 LOCAL	$6,305	$4,729	$883 – $5,044	—

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 99461 prices

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

Endeavor Health Edward Hospital Central Vermont Medical Center Sharp Chula Vista Medical Center

Code 99461: frequently asked

What does code 99461 cost?: Across the published hospital price files, the disclosed cash price for 99461 ranges from $224 to $4,729. 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 99461?: 99461 is the billing code hospitals use to identify "Init nb em per day non-fac" 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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