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Observation Care Admission, Straightforward

Kentucky 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

Professionalmedian $51 · 10th to 90th $51 to $102
$100professional $51

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$102.33
Typical High
$186.21
Molina
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$64.57