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Hospital Follow-Up Visit (Moderate Complexity)

Oregon 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?

$85.11

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $138 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 8 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$85.11$75.86 to $141
FacilityA hospital or hospital-owned outpatient department$138$110 to $155

How much rates vary

Facilitymedian $138 · 10th to 90th $76 to $182Professionalmedian $85 · 10th to 90th $65 to $234
$20$50$100$200facility $138professional $85

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
$169.82
Median
$181.97
Typical High
$251.19
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$186.21
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$177.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$213.80
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$154.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$177.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$213.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$213.80

Where Oregon 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.

Oregon· 7th of 51

$85.11

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.