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Observation Care Admission, Straightforward

Missouri 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 does Observation Care Admission, Straightforward cost?

$501

Typical physician fee. In Missouri, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $148 to $501.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $603 · 10th to 90th $98 to $603Professionalmedian $501 · 10th to 90th $93 to $501
$100.0$200.0$500.0facility $603professional $501

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$602.56
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$147.91

Where Missouri sits

The same service costs 16.6 times more in North Carolina than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $501 · 7th of 49
NC $501SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.