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Hospital Follow-Up Visit (Moderate Complexity)

Virginia 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?

$75.86

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $74.13 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$75.86$63.10 to $89.13
FacilityA hospital or hospital-owned outpatient department$74.13$61.66 to $102

How much rates vary

Facilitymedian $74 · 10th to 90th $54 to $162Professionalmedian $76 · 10th to 90th $55 to $120
$20$100$500$2K$10Kfacility $74professional $76

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
$53.70
Median
$63.10
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$141.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$239.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$112.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$138.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$69.18
Sentara
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$338.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$524.81
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$154.88

Where Virginia 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.

Virginia· 45th of 51

$75.86

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.