Tynbil: Know the *real* price for healthcare services

New Jersey 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	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $100.88 / $198.90	Professional		$55.06	$100.88	$198.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $80.12 / $118.32	Professional		$56.89	$80.12	$118.32