Tynbil: Know the *real* price for healthcare services

Kentucky rates for HCPCS 99226

Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high 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 unstable or has developed a significant complication or a significant new problem. Typically, 35 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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,249.74 / $38,499.62 / $47,999.52	Facility	$26,249.74	$38,499.62	$47,999.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47,249.53 / $48,999.51 / $50,749.49	Professional	$47,249.53	$48,999.51	$50,749.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $77.25 / $86.91	Professional	$64.38	$77.25	$86.91