Tynbil: Know the *real* price for healthcare services

Virginia rates for HCPCS 99218

Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital "observation status" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.43 / $370.26 / $443.61	Professional	$325.43	$370.26	$443.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $169.01 / $366.95	Professional	$100.21	$169.01	$366.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.00 / $188.00	Professional	$100.00	$123.00	$188.00