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First Day Hospital Care Visit, Moderate Level

Oregon 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?

$191

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $251 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$186$129 to $282
FacilityA hospital or hospital-owned outpatient department$251$195 to $263

How much rates vary

Facilitymedian $251 · 10th to 90th $145 to $324Professionalmedian $186 · 10th to 90th $110 to $457
$50$100$200$500facility $251professional $186

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
$245.47
Median
$302.00
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$302.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$316.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$354.81
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$316.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$263.03
Typical High
$363.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$380.19

Where Oregon 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.

Oregon· 3rd of 51

$191

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.