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First Day Hospital Care Visit, Moderate Level

Iowa 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?

$158

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $123 to $257.

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.

How much rates vary

Facilitymedian $87 · 10th to 90th $29 to $257Professionalmedian $162 · 10th to 90th $100 to $490
$50$100$200$500facility $87professional $162

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
$28.84
Median
$61.66
Typical High
$239.88
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$33.88
Median
$33.88
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$288.40
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$407.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$288.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$213.80

Where Iowa 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.

Iowa· 11th of 51

$158

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.