Tynbil: Know the *real* price for healthcare services

Minnesota 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 Facility Modifier Low / Median / High Price $177.83 / $251.19 / $602.56	Facility	$177.83	$251.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $288.40	Professional	$125.89	$204.17	$288.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $467.74	Facility	$194.98	$239.88	$467.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $269.15	Professional	$123.03	$169.82	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $112.20	Professional	$87.10	$100.00	$112.20