Tynbil: Know the *real* price for healthcare services

Iowa 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 $121.68 / $132.81 / $152.10	Professional	$121.68	$132.81	$152.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $147.29 / $335.79	Professional	$100.70	$147.29	$335.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $109.74 / $139.85	Facility	$87.38	$109.74	$139.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $109.74 / $147.29	Professional	$75.61	$109.74	$147.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $122.50 / $173.30	Professional	$56.90	$122.50	$173.30