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Hospital Discharge Visit

North Carolina 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?

$85.11

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $105 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 8 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$85.11$72.44 to $129
FacilityA hospital or hospital-owned outpatient department$105$74.13 to $138

How much rates vary

Facilitymedian $105 · 10th to 90th $69 to $195Professionalmedian $85 · 10th to 90th $62 to $186
$2.0$10.0$50.0$200.0facility $105professional $85

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
$69.18
Median
$104.71
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$154.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$154.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$177.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$158.49
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74

Where North Carolina sits

The same service costs 1.8 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $85.11 · 18th of 51
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.