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First Day Hospital Care Visit, Moderate Level

Virginia 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 Virginia, 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 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$135$115 to $170
FacilityA hospital or hospital-owned outpatient department$138$115 to $195

How much rates vary

Facilitymedian $138 · 10th to 90th $102 to $295Professionalmedian $135 · 10th to 90th $102 to $224
$50$200$1K$5Kfacility $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$194.98
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$269.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$446.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$645.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$524.81
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$295.12

Where Virginia 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.

Virginia· 39th 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.