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Same-Day Hospital Or Observation Care, Lower Level

Vermont rates for HCPCS 99234

Covers a doctor's assessment and management of a patient who is placed under hospital or observation care and sent home on the same calendar day, taking in both the admission work and the discharge. It applies to the more straightforward end of these same-day stays, where the problem and the decisions involved are less complex.

Rates data updated October 2026.

How much does Same-Day Hospital Or Observation Care, Lower Level cost?

$145

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $112 to $191.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $145 · 10th to 90th $100 to $234
$100$200$500professional $145

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$128.82
Typical High
$134.90
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$199.53
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$134.90
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$186.21
Typical High
$275.42

Where Vermont sits

The same service costs 2.0 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.

Vermont· 15th of 51

$145

AK $209DC $102

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.