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Same-Day Hospital Admission and Discharge, Complex

Montana 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?

$355

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $355 to $363.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $355 · 10th to 90th $269 to $513
$200.0$1.0K$5.0K$20.0K$100.0Kfacility $355

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$389.05
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09

Where Montana sits

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.

Montana $355 · 9th of 49
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.