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First Day Hospital Care Visit, Moderate Level

Nevada 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?

$145

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $123 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$145$123 to $200
FacilityA hospital or hospital-owned outpatient department$123$117 to $141

How much rates vary

Facilitymedian $123 · 10th to 90th $117 to $166Professionalmedian $145 · 10th to 90th $95 to $339
$50$100$200$500facility $123professional $145

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
$117.49
Median
$123.03
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$245.47
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$141.25
Typical High
$204.17
Hometown Health
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$138.04
Typical High
$229.09

Where Nevada 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.

Nevada· 20th of 51

$145

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.