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First Doctor Visit After Nursing Facility Admission

Indiana 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?

$155

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $132 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$138 to $182
FacilityA hospital or hospital-owned outpatient department$132$112 to $174

How much rates vary

Facilitymedian $132 · 10th to 90th $98 to $562Professionalmedian $155 · 10th to 90th $120 to $234
$100$200$500$1K$2Kfacility $132professional $155

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
$97.72
Median
$112.20
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$138.04
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$154.88
Typical High
$234.42
CareSource
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$186.21
CareSource
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$162.18
Typical High
$245.47
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$562.34
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$154.88
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$177.83
Typical High
$251.19

Where Indiana 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.

Indiana· 39th of 51

$155

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.