Same-Day Hospital Admission and Discharge, Complex

Nationwide rates for HCPCS 99236

Hospital care for a patient who is admitted and sent home on the same date, covering the assessment, the treatment decisions and the discharge. This is the most involved level, used when the problems are severe or unstable and the decision-making is demanding. It covers the whole stay as one service rather than separate admission and discharge visits.

Rates data updated July 2026.

How much does Same-Day Hospital Admission and Discharge, Complex cost?

$245

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 48 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$302	$229 to $457
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$240	$186 to $324

How much rates vary

Facilitymedian $240 · 10th to 90th $162 to $589Professionalmedian $302 · 10th to 90th $191 to $631

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $154.88 Median $194.98 Typical High $309.03	Facility	Global	$154.88	$194.98	$309.03
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $25.12 Median $724.44 Typical High $1,122.02	Facility	25 · Same-day visit	$25.12	$724.44	$1,122.02
BCBS Setting Facility Modifier Global Typical Low $229.09 Median $288.40 Typical High $724.44	Facility	Global	$229.09	$288.40	$724.44
Cigna Setting Facility Modifier Global Typical Low $269.15 Median $630.96 Typical High $1,659.59	Facility	Global	$269.15	$630.96	$1,659.59
United Setting Facility Modifier Global Typical Low $165.96 Median $281.84 Typical High $562.34	Facility	Global	$165.96	$281.84	$562.34

What it costs in each state

The same service costs 5.0 times more in Maine than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

ME $661MS $132

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.