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Hospital Consultation, Lower Complexity

Oregon rates for HCPCS 99252

A specialist's opinion on a hospital patient, requested by the doctor already caring for them. The consultant takes a history, examines the patient, reviews the records, and writes back with advice. This is one of the shorter consultations of its kind, for a problem that is fairly limited in complexity.

Rates data updated July 2026.

How much does Hospital Consultation, Lower Complexity cost?

$132

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $138 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$129$81.28 to $166
FacilityA hospital or hospital-owned outpatient department$138$115 to $145

How much rates vary

Facilitymedian $138 · 10th to 90th $83 to $195Professionalmedian $129 · 10th to 90th $62 to $245
$10$20$50$100$200facility $138professional $129

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
$134.90
Median
$162.18
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$128.82
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$177.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$223.87
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$199.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$234.42
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$213.80

Where Oregon sits

The same service costs 2.3 times more in South Dakota 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.

Oregon· 4th of 51

$132

SD $158DC $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.