go back

Same-Day Hospital Admission and Discharge, Complex

New Mexico 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 October 2026.

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

$219

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $195 to $295.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $219 · 10th to 90th $170 to $282Professionalmedian $219 · 10th to 90th $174 to $363
$50$100$200$500facility $219professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$194.98
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$199.53
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$213.80
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$204.17
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$251.19
Typical High
$398.11
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$245.47
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$275.42
Typical High
$281.84
Providence
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$295.12
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$302.00
Typical High
$380.19

Where New Mexico sits

The same service costs 2.4 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 33rd of 51

$219

AK $407UT $170

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.