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Observation Care Admission, Moderate Complexity

Florida rates for HCPCS 99219

The doctor's first full assessment when you are placed under observation in hospital for monitoring and testing. It covers a more detailed history and examination and a moderately involved plan, for a problem that is more complicated than a routine one but not immediately dangerous.

Rates data updated July 2026.

How much rates vary

Facilitymedian $110 · 10th to 90th $107 to $135Professionalmedian $112 · 10th to 90th $105 to $145
$100$200facility $110professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AvMed
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$114.82
AvMed
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$186.21