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First Doctor Visit After Nursing Facility Admission

Idaho rates for HCPCS 99306

The clinician's first visit to a patient who has just been admitted to a nursing facility. It covers a full review of the person's medical history and current problems, an examination, and setting out the plan of care for the stay, including medicines and goals.

Rates data updated October 2026.

How much does First Doctor Visit After Nursing Facility Admission cost?

$224

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $234 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$182 to $295
FacilityA hospital or hospital-owned outpatient department$234$224 to $234

How much rates vary

Facilitymedian $234 · 10th to 90th $204 to $295Professionalmedian $219 · 10th to 90th $155 to $339
$200$500facility $234professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$204.17
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$186.21
Typical High
$239.88
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$234.42
Typical High
$234.42
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$331.13
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$263.03
Typical High
$316.23
Moda Health
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$239.88
Moda Health
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$204.17
Typical High
$323.59
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$346.74
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$302.00
Typical High
$354.81
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Select Health
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$181.97
Typical High
$186.21
Select Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$213.80
Typical High
$302.00

Where Idaho sits

The same service costs 3.0 times more in North Dakota than in Ohio. 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.

Idaho· 12th of 51

$224

ND $331OH $110

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.