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Observation Care Admission, Moderate Complexity

Maryland 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

Professionalmedian $214 · 10th to 90th $85 to $263
$100$200professional $214

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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$223.87