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Same-Day Hospital Admission And Discharge, Moderate

California rates for HCPCS 99235

Covers a doctor's evaluation and treatment of a patient who is admitted to hospital or to an observation bed and sent home on the same calendar day. It includes the history, examination, and decision-making for both the admission and the discharge. This version applies when the problem and the decisions involved are of moderate complexity.

Facilitymedian $229 · 10th–90th $182$5890%10%20%10th90th$229Professionalmedian $174 · 10th–90th $132$3390%10%20%10th90th$174$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$588.84
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$363.08
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78