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Observation Care Discharge Day

Pennsylvania 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 October 2026.

How much does Observation Care Discharge Day cost?

$72.44

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $72.44 for this service. Most negotiated rates run $63.10 to $95.50.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43 · 10th to 90th $43 to $43Professionalmedian $72 · 10th to 90th $63 to $141
$50$100$200facility $43professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Geisinger
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$67.61
Typical High
$138.04
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$83.18
Typical High
$151.36

Where Pennsylvania sits

The same service costs 16.6 times more in Texas than in Idaho. 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.

Pennsylvania· 33rd of 37

$72.44

TX $501ID $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.