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Same-Day Hospital Admission and Discharge, Complex

Virginia 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?

$251

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $200 to $331.

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 $251 · 10th to 90th $162 to $513Professionalmedian $245 · 10th to 90th $186 to $389
$200$500$1K$2K$5K$10Kfacility $251professional $245

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. 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
Global
Typical Low
$162.18
Median
$213.80
Typical High
$512.86
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$426.58
Sentara
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$524.81
Typical High
$891.25

Where Virginia sits

The same service costs 5.0 times more in Maine than in Mississippi. 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.

Virginia· 18th of 49

$251

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.