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Nevada rates for HCPCS 99236

Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 85 minutes must be met or exceeded.

Facilitymedian $182 · 10th–90th $174–$2290%50%10th90th$182Professionalmedian $214 · 10th–90th $2–$3310%20%10th90th$214$2.0$10.0$50.0$200.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $181.97 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $208.93 / $331.13
Hometown Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78