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Observation Care Admission, Straightforward

Indiana 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.

Rates data updated October 2026.

How much rates vary

Facilitymedian $63 · 10th to 90th $63 to $63Professionalmedian $100 · 10th to 90th $74 to $170
$100facility $63professional $100

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$100.00
Typical High
$169.82
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10