Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate 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 moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $446.68 | $537.03 | $645.65 | |
Kaiser Permanente
| Professional | $302.00 | $446.68 | $1,698.24 | |
Lucent Health
| Facility | $467.74 | $467.74 | $467.74 | |
Lucent Health
| Professional | $630.96 | $630.96 | $630.96 | |
Sutter Health Plus
| Professional | $354.81 | $354.81 | $354.81 | |
United
| Professional | $100.00 | $138.04 | $338.84 |