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 high 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 high severity. Typically, 70 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 | $306.02 | $335.45 | $382.53 | |
Medica
| Facility | $221.00 | $221.00 | $221.00 | |
Medica
| Professional | $200.00 | $375.17 | $849.56 | |
Midlands
| Facility | $221.00 | $279.45 | $355.44 | |
Midlands
| Professional | $200.00 | $271.18 | $375.17 | |
Oscar Health
| Professional | $195.50 | $315.39 | $436.40 |