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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.

Rates data updated July 2026.

How much rates vary

Facilitymedian $245 · 10th to 90th $100 to $275Professionalmedian $112 · 10th to 90th $93 to $132
$100$200facility $245professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$87.10