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First Day Hospital Care Visit, Moderate Level

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $110 to $138.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $126 · 10th to 90th $42 to $166
$20$50$100$200professional $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
Professional
Modifier
Global
Typical Low
$41.69
Median
$125.89
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$288.40
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$295.12

Where Vermont 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.

Vermont· 45th 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.