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First Day Hospital Care Visit, Moderate Level

North Carolina 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 negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $155 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$141$115 to $209
FacilityA hospital or hospital-owned outpatient department$155$132 to $209

How much rates vary

Facilitymedian $155 · 10th to 90th $129 to $355Professionalmedian $141 · 10th to 90th $58 to $324
$10$20$50$100$200$500facility $155professional $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
$128.82
Median
$144.54
Typical High
$380.19
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$131.83
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$338.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$269.15
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76

Where North Carolina 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.

North Carolina· 25th 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.