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Observation Care Discharge Day

New York 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?

$100

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $100 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$85.11 to $100
FacilityA hospital or hospital-owned outpatient department$100$81.28 to $513

How much rates vary

Facilitymedian $100 · 10th to 90th $66 to $550Professionalmedian $89 · 10th to 90th $76 to $110
$100.0$200.0$500.0$1.0K$2.0Kfacility $100professional $89

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
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$512.86
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$102.33

Where New York sits

The same service costs 16.6 times more in Kansas than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $100 · 27th of 49
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.