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Same-Day Hospital Admission And Discharge, Moderate

Texas 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 $191 · 10th–90th $132$6310%20%10th90th$191$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
$128.82
Median
$134.90
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$478.63
Typical High
$851.14
Christus
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$323.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$213.80