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Observation Care Admission, Moderate Complexity

Ohio 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 $1,259 · 10th to 90th $87 to $2,692Professionalmedian $151 · 10th to 90th $79 to $209
$10$50$200$1Kfacility $1,259professional $151

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
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$1,258.93
Typical High
$2,691.53
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$165.96
Typical High
$245.47