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Observation Care Admission, Moderate Complexity

Iowa 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 does Observation Care Admission, Moderate Complexity cost?

$275

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $229 to $288.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $468Professionalmedian $275 · 10th to 90th $145 to $631
$100$200$500facility $158professional $275

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$630.96
Typical High
$630.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$208.93

Where Iowa sits

The same service costs 20.9 times more in Massachusetts than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 15th of 50

$275

MA $631SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.