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Ohio 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 $191 · 10th–90th $141–$6460%10%20%10th90th$191$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$138.04 / $177.83 / $363.08
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$630.96 / $724.44 / $912.01
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $245.47 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $316.23 / $3,019.95