Tynbil: Know the *real* price for healthcare services

Wisconsin 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 Facility Modifier Low / Median / High Price $97.32 / $113.73 / $174.46	Facility	$97.32	$113.73	$174.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $104.90 / $123.51	Professional	$68.70	$104.90	$123.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $183.93 / $183.93	Professional	$183.93	$183.93	$183.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional	$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility	$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $183.93 / $183.93	Professional	$66.61	$183.93	$183.93