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First Day Hospital Care Visit, Moderate Level

Missouri 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?

$138

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $115 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$110 to $204
FacilityA hospital or hospital-owned outpatient department$115$91.20 to $174

How much rates vary

Facilitymedian $115 · 10th to 90th $78 to $224Professionalmedian $138 · 10th to 90th $83 to $269
$50$100$200$500facility $115professional $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
$69.18
Median
$112.20
Typical High
$223.87
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$269.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$234.42

Where Missouri 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.

Missouri· 30th of 51

$138

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.