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Observation Care Admission, High Complexity

Texas 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 October 2026.

How much rates vary

Professionalmedian $851 · 10th to 90th $851 to $851
professional $851

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21