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Observation Care Admission, Straightforward

Washington 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 $145 · 10th–90th $55$2340%5%10%10th90th$145Professionalmedian $145 · 10th–90th $66$2290%10%10th90th$145$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. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$218.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$144.54
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$154.88
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$204.17