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Observation Care Admission, High Complexity

Massachusetts rates for HCPCS 99220

The doctor's first full assessment when you are placed under observation in hospital, for someone who is seriously unwell or unstable. It covers a comprehensive history and examination and complex decision-making, often with several tests and treatments started at the same time.

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $200$1,0000%20%40%10th90th$603Professionalmedian $851 · 10th–90th $200$8510%50%10th$851$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$269.15