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Assisted Living Visit, New Patient, Comprehensive

Pennsylvania rates for HCPCS 99327

A first visit by a doctor or other qualified provider to a patient living in an assisted living residence, rest home, or similar place providing housing and personal care. It covers a comprehensive assessment, used when the patient's situation is complicated and needs a full history, a full examination, and careful decision-making.

Rates data updated October 2026.

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

$126

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $126 to $126.

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 $95 · 10th to 90th $95 to $95Professionalmedian $126 · 10th to 90th $126 to $145
$100facility $95professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Geisinger
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Pennsylvania sits

The same service costs 28.8 times more in Texas 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 33

$126

TX $871SC $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.