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Initial Hospital Care, Highest Complexity

Kansas rates for HCPCS 99223

This covers the first visit from a doctor or other provider after a patient is admitted to the hospital, for the most complex cases requiring a thorough history, exam, and high-level medical decision making. It reflects the most involved level of initial hospital evaluation, typically used for patients who are seriously ill or have multiple significant health problems.

Rates data updated July 2026.

How much does Initial Hospital Care, Highest Complexity cost?

$162

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $158 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 6 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$166$141 to $209
FacilityA hospital or hospital-owned outpatient department$158$135 to $219

How much rates vary

Facilitymedian $158 · 10th to 90th $117 to $295Professionalmedian $166 · 10th to 90th $126 to $263
$50$100$200$500facility $158professional $166

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
$117.49
Median
$134.90
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$338.84

Where Kansas sits

The same service costs 1.6 times more in Minnesota 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.

Kansas· 49th of 51

$162

MN $245DC $155

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.