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First Day Hospital Care Visit, Moderate Level

Maine 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?

$141

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $120 to $174.

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.

How much rates vary

Facilitymedian $302 · 10th to 90th $123 to $2,692Professionalmedian $141 · 10th to 90th $110 to $240
$100$200$500$1K$2Kfacility $302professional $141

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
$141.25
Median
$338.84
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$363.08
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$263.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$302.00
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$263.03
Typical High
$2,691.53
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$288.40

Where Maine 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.

Maine· 22nd of 51

$141

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.