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First Day Hospital Care Visit, Moderate Level

Florida 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?

$145

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $117 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 8 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$145$123 to $204
FacilityA hospital or hospital-owned outpatient department$117$112 to $145

How much rates vary

Facilitymedian $117 · 10th to 90th $110 to $200Professionalmedian $145 · 10th to 90th $102 to $339
$5$20$100$500facility $117professional $145

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
$109.65
Median
$117.49
Typical High
$199.53
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$6.92
Median
$48.98
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$223.87
AvMed
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$128.82
AvMed
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$295.12
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$134.90

Where Florida 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.

Florida· 19th of 51

$145

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.