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Assisted Living Visit, New Patient, Low Complexity

California rates for HCPCS 99325

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. It covers a low level of complexity, with a fuller history and examination than the briefest first visit for a problem that is not severe.

Rates data updated July 2026.

How much does Assisted Living Visit, New Patient, Low Complexity cost?

$324

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $324 to $324.

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 $324 · 10th to 90th $324 to $324Professionalmedian $380 · 10th to 90th $155 to $427
$100$200$500$1Kfacility $324professional $380

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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$426.58
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$162.18

Where California sits

The same service costs 10.7 times more in North Carolina 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.

California· 3rd of 34

$324

NC $324SC $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.