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First Day Hospital Care Visit, Moderate Level

South 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?

$126

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $105 to $200.

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.

How much rates vary

Facilitymedian $110 · 10th to 90th $81 to $195Professionalmedian $126 · 10th to 90th $83 to $389
$50$100$200$500facility $110professional $126

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
$81.28
Median
$109.65
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
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
$114.82
Median
$165.96
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$218.78

Where South 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.

South Carolina· 44th of 51

$126

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.