Tynbil: Know the *real* price for healthcare services

Washington 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 $128.82 / $128.82 / $162.18	Professional	$128.82	$128.82	$162.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $97.72 / $158.49	Facility	$46.77	$97.72	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $165.96	Professional	$56.23	$104.71	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional	$70.79	$70.79	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $138.04	Facility	$83.18	$131.83	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $134.90	Professional	$58.88	$74.13	$134.90