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Observation Care Admission, Straightforward

Michigan 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 $245 · 10th–90th $100$2750%20%40%10th90th$245Professionalmedian $110 · 10th–90th $93$1320%10%20%10th90th$110$100.0$200.0

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

Insurance Carrier
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$245.47
Typical High
$275.42
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$125.89