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Observation Care Admission, Straightforward

Illinois rates for HCPCS 99218

The doctor's first full assessment when you are placed under observation in hospital — kept in a bed for monitoring and testing without being formally admitted. It covers the history, examination and plan on the day observation starts, for a problem that is comparatively uncomplicated.

Facilitymedian $219 · 10th–90th $129$9770%10%10th90th$219Professionalmedian $102 · 10th–90th $79$3630%20%10th90th$102$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$131.83