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Assisted Living Visit, New Patient, Brief

Pennsylvania rates for HCPCS 99324

A first visit by a doctor or other qualified provider to a patient living in an assisted living residence, rest home, or similar place that provides housing and personal care rather than skilled nursing. This is the shortest and simplest level, used when the problem is straightforward and only a basic history and examination are needed.

Rates data updated July 2026.

How much does Assisted Living Visit, New Patient, Brief cost?

$44.67

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $44.67 for this service. Most negotiated rates run $44.67 to $52.48.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30 · 10th to 90th $30 to $30Professionalmedian $45 · 10th to 90th $45 to $52
$50facility $30professional $45

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Pennsylvania sits

The same service costs 7.2 times more in Massachusetts than in South Carolina. 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.

Pennsylvania· 32nd of 34

$44.67

MA $219SC $30.20

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.