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Same-Day Hospital Admission And Discharge, Moderate

Montana 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 $275 · 10th–90th $209$4070%50%10th90th$275$200.0$1.0K$5.0K$20.0K$100.0K

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$77,624.71
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$295.12
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$275.42
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78