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Observation Care Admission, Straightforward

Texas 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 October 2026.

How much rates vary

Professionalmedian $501 · 10th to 90th $501 to $501
professional $501

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13