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First Day Hospital Care Visit, Moderate Level

Delaware 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?

$129

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $110 to $158.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $107 · 10th to 90th $105 to $151Professionalmedian $129 · 10th to 90th $100 to $214
$100$200facility $107professional $129

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
$104.71
Median
$107.15
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$234.42
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$251.19

Where Delaware 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.

Delaware· 41st of 51

$129

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.