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Observation Care Admission, Straightforward

Pennsylvania 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 $55 · 10th–90th $55$550%50%100%$55Professionalmedian $102 · 10th–90th $60$1910%10%20%10th90th$102$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
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$117.49
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$158.49