go back

Same-Day Hospital Admission And Discharge, Moderate

New Jersey 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 $145 · 10th–90th $110$2240%20%10th90th$145$100.0$200.0

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
$109.65
Median
$144.54
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$218.78