Tynbil: Know the *real* price for healthcare services

South Dakota 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.39 / $175.13 / $216.74	Professional	$173.39	$175.13	$216.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.62 / $480.62 / $480.62	Professional	$480.62	$480.62	$480.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.21 / $158.21 / $158.21	Facility	$158.21	$158.21	$158.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $158.21 / $214.16	Professional	$105.77	$158.21	$214.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $172.32 / $237.27	Professional	$127.43	$172.32	$237.27