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First Day Hospital Care Visit, Moderate Level

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $112 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 7 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$138$112 to $214
FacilityA hospital or hospital-owned outpatient department$112$95.50 to $112

How much rates vary

Facilitymedian $112 · 10th to 90th $85 to $162Professionalmedian $138 · 10th to 90th $87 to $245
$50$100$200$500facility $112professional $138

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
$85.11
Median
$102.33
Typical High
$131.83
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$8.32
Median
$8.32
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$186.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$194.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$257.04

Where Kentucky 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.

Kentucky· 37th 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.