go back

First Day Hospital Care Visit, Moderate Level

Georgia 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 Georgia, 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 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$135$112 to $204
FacilityA hospital or hospital-owned outpatient department$135$110 to $155

How much rates vary

Facilitymedian $135 · 10th to 90th $107 to $186Professionalmedian $135 · 10th to 90th $98 to $309
$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
$107.15
Median
$134.90
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$257.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$158.49
Typical High
$229.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$165.96
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$309.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$323.59

Where Georgia 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.

Georgia· 34th 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.