Tynbil: Know the *real* price for healthcare services

Texas 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 $155.62 / $155.62 / $186.46	Professional	$155.62	$155.62	$186.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.81 / $90.00 / $90.00	Facility	$88.81	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $183.93 / $183.93	Professional	$183.93	$183.93	$183.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $37.53 / $89.10	Professional	$32.81	$37.53	$89.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $33.10 / $39.00	Professional	$33.10	$33.10	$39.00