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Hospital Discharge Visit

Rhode Island 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 October 2026.

How much does Hospital Discharge Visit cost?

$81.28

Typical physician fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $72.44 to $97.72.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $170 · 10th to 90th $79 to $191Professionalmedian $79 · 10th to 90th $68 to $132
$100facility $170professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$70.79
Median
$70.79
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$104.71
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$169.82
Typical High
$190.55
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$91.20
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$81.28
Typical High
$131.83
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$7.08
Typical High
$7.08

Where Rhode Island sits

The same service costs 2.3 times more in Alaska than in New Jersey. 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.

Rhode Island· 27th of 51

$81.28

AK $155NJ $67.61

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.