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First Day Hospital Care Visit, Moderate Level

Arizona rates for HCPCS 99222

A physician's first visit with a patient admitted to the hospital or placed under observation. It includes taking the history and examining the patient, with moderately complex decision-making. Selection reflects about 55 minutes or more of care that day.

Rates data updated July 2026.

How much does First Day Hospital Care Visit, Moderate Level cost?

$155

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $234 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$123 to $229
FacilityA hospital or hospital-owned outpatient department$234$129 to $525

How much rates vary

Facilitymedian $234 · 10th to 90th $100 to $776Professionalmedian $155 · 10th to 90th $93 to $479
$50$100$200$500$1Kfacility $234professional $155

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$234.42
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$549.54
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$323.59

Where Arizona sits

The same service costs 2.1 times more in Wyoming than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 13th of 51

$155

WY $219DC $105

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.