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First Day Hospital Care Visit, Moderate Level

Idaho 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?

$170

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $195 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$166$135 to $219
FacilityA hospital or hospital-owned outpatient department$195$170 to $245

How much rates vary

Facilitymedian $195 · 10th to 90th $112 to $794Professionalmedian $166 · 10th to 90th $117 to $447
$50$100$200$500$1Kfacility $195professional $166

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
$38.90
Median
$169.82
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$489.78
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$275.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$112.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$234.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$1,348.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$323.59

Where Idaho 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.

Idaho· 5th of 51

$170

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.