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First Day Hospital Care Visit, Moderate Level

Washington, DC 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?

$105

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $91.20 to $123.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $178 · 10th to 90th $91 to $295Professionalmedian $105 · 10th to 90th $24 to $158
$20$50$100$200facility $178professional $105

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
$91.20
Median
$177.83
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$104.71
Typical High
$144.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$269.15
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$309.03

Where Washington, DC 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.

Washington, DC· 51st of 51

$105

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.