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First Day Hospital Care Visit, Moderate Level

Rhode Island 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?

$135

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $138 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 4 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$135$117 to $158
FacilityA hospital or hospital-owned outpatient department$138$138 to $288

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $316Professionalmedian $135 · 10th to 90th $93 to $174
$100$200facility $138professional $135

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$331.13

Where Rhode Island 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.

Rhode Island· 35th of 51

$135

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.