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Observation Care Admission, Moderate Complexity

Oregon 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 $219 · 10th to 90th $155 to $257Professionalmedian $79 · 10th to 90th $79 to $87
$100$200facility $219professional $79

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
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$87.10