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First Day Hospital Care Visit, Moderate Level

Colorado 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?

$135

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $135 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 7 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$135$115 to $263
FacilityA hospital or hospital-owned outpatient department$135$107 to $178

How much rates vary

Facilitymedian $135 · 10th to 90th $95 to $234Professionalmedian $135 · 10th to 90th $87 to $389
$20$50$100$200$500facility $135professional $135

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
$87.10
Median
$107.15
Typical High
$128.82
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$269.15
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$245.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$407.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$245.47
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$323.59

Where Colorado 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.

Colorado· 36th of 51

$135

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.