Tynbil: Know the *real* price for healthcare services

California rates for HCPCS 99225

Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate 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 responding inadequately to therapy or has developed a minor complication. Typically, 25 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 $239.28 / $286.69 / $345.29	Professional	$239.28	$286.69	$345.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $393.93 / $1,619.00	Professional	$70.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $145.66 / $162.13	Facility	$145.66	$145.66	$162.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $335.79 / $335.79 / $335.79	Professional	$335.79	$335.79	$335.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.47 / $61.47 / $61.47	Facility	$61.47	$61.47	$61.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $188.93 / $188.93 / $188.93	Professional	$188.93	$188.93	$188.93