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First Day Hospital Care Visit, Moderate Level

New Mexico 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 New Mexico, 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 $148 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$141$123 to $200
FacilityA hospital or hospital-owned outpatient department$148$123 to $191

How much rates vary

Facilitymedian $148 · 10th to 90th $117 to $347Professionalmedian $141 · 10th to 90th $110 to $316
$100$1K$10K$100Kfacility $148professional $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
$109.65
Median
$123.03
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$257.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$257.04

Where New Mexico 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.

New Mexico· 23rd 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.