Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital "observation status" are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $225.72 | $227.97 | $282.14 | |
Medica
| Professional | $626.71 | $626.71 | $626.71 | |
Midlands
| Facility | $204.24 | $204.24 | $204.24 | |
Midlands
| Professional | $143.00 | $159.00 | $270.58 | |
Sanford Health Plan
| Professional | $136.00 | $222.22 | $308.05 |