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Same-Day Hospital Admission And Discharge, Moderate

New Mexico 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 $219 · 10th–90th $151$3020%20%10th90th$219$200.0$1.0K$5.0K$20.0K

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
$151.36
Median
$177.83
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$316.23