go back

Hospital Discharge Visit

Illinois rates for HCPCS 99238

This is the final visit by a doctor or other clinician on the day a patient leaves the hospital, including a review of the hospital stay, final examination, instructions for ongoing care, and preparation of discharge paperwork, for a discharge that takes a shorter amount of time. A longer, more involved discharge process is billed differently.

Rates data updated July 2026.

How much does Hospital Discharge Visit cost?

$83.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $79.43 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$70.79 to $115
FacilityA hospital or hospital-owned outpatient department$79.43$58.88 to $126

How much rates vary

Facilitymedian $79 · 10th to 90th $51 to $209Professionalmedian $83 · 10th to 90th $59 to $182
$20$50$100$200$500$1Kfacility $79professional $83

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$269.15
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$154.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$269.15
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$169.82

Where Illinois sits

The same service costs 1.8 times more in Minnesota than in Washington, DC. 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.

Illinois· 25th of 51

$83.18

MN $117DC $64.57

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.