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Observation Care Admission, Moderate Complexity

Michigan 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 $339 · 10th to 90th $138 to $380Professionalmedian $155 · 10th to 90th $129 to $186
$100$200facility $339professional $155

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
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$338.84
Typical High
$380.19
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$186.21