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Observation Care Admission, Straightforward

Ohio 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 $1,047 · 10th to 90th $72 to $1,622Professionalmedian $89 · 10th to 90th $66 to $148
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $1,047professional $89

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
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$1,047.13
Typical High
$1,621.81
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$147.91