Tynbil: Know the *real* price for healthcare services

South Dakota rates for HCPCS 99224

Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $66.36 / $82.13	Professional	$65.70	$66.36	$82.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $183.93 / $183.93	Professional	$183.93	$183.93	$183.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $59.85 / $59.85	Facility	$59.85	$59.85	$59.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $59.85 / $81.06	Professional	$39.63	$59.85	$81.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $64.40 / $90.08	Professional	$47.63	$64.40	$90.08