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Hospital Follow-Up Visit (Moderate Complexity)

New Mexico rates for HCPCS 99232

A daily check-in visit from a doctor for a patient who is already admitted to the hospital, used when the patient's condition requires a moderate amount of evaluation, such as responding to a new problem or an illness that isn't improving as expected. It reflects more involved decision-making than the most basic level of daily hospital visit. It typically includes a fuller exam and closer review of test results and treatment adjustments.

Rates data updated July 2026.

How much does Hospital Follow-Up Visit (Moderate Complexity) cost?

$81.28

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $123 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$72.44 to $107
FacilityA hospital or hospital-owned outpatient department$123$77.62 to $589

How much rates vary

Facilitymedian $123 · 10th to 90th $65 to $912Professionalmedian $81 · 10th to 90th $62 to $174
$100$1K$10K$100Kfacility $123professional $81

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$70.79
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$602.56
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$93.33
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$112.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$134.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$134.90

Where New Mexico sits

The same service costs 1.7 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 19th of 51

$81.28

AK $105DC $63.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.