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Observation Care Discharge Day

Iowa rates for HCPCS 99217

The doctor's work on the day you leave hospital after a stay under observation. It covers a final examination, going through the results and what they mean, arranging prescriptions and follow-up appointments, and preparing the discharge paperwork and instructions.

Rates data updated July 2026.

How much does Observation Care Discharge Day cost?

$148

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $126 to $155.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $339Professionalmedian $148 · 10th to 90th $87 to $501
$100$200$500facility $100professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$154.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$501.19
Typical High
$501.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$120.23

Where Iowa sits

The same service costs 16.6 times more in Kansas than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 15th of 49

$148

KS $501SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.