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First Day Hospital Care Visit, Moderate Level

Minnesota 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?

$204

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $389 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 6 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$200$126 to $316
FacilityA hospital or hospital-owned outpatient department$389$240 to $759

How much rates vary

Facilitymedian $389 · 10th to 90th $100 to $1,000Professionalmedian $200 · 10th to 90th $107 to $490
$50$100$200$500$1Kfacility $389professional $200

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
$89.13
Median
$100.00
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$645.65
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,000.00
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$295.12
Typical High
$426.58

Where Minnesota 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.

Minnesota· 2nd of 51

$204

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.