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Observation Care Admission, Straightforward

Wisconsin 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 $324 · 10th–90th $245$6030%10%10th90th$324Professionalmedian $269 · 10th–90th $85$5010%20%10th90th$269$100.0$200.0$500.0

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$602.56
Typical High
$602.56
Quartz
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$147.91