Assisted Living Visit, New Patient, High Complexity
California rates for HCPCS 99328
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 highest level, used when the patient is unstable or has serious conditions that interact, so the assessment and the decisions are extensive.
Rates data updated July 2026.
How much does Assisted Living Visit, New Patient, High Complexity cost?
$832
Typical physician fee. In California, July 2026.
Insurers have agreed to pay about $832 for this service. Most negotiated rates run $832 to $832.
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 $832 · 10th to 90th $832 to $832Professionalmedian $1,023 · 10th to 90th $398 to $1,023
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,698.24
Professional
Global
$398.11
$398.11
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Facility
Global
$831.76
$831.76
$831.76
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Professional
Global
$1,023.29
$1,023.29
$1,023.29
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Professional
Global
$575.44
$575.44
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$446.68
Professional
Global
$208.93
$295.12
$446.68
Where California sits
The same service costs 27.5 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.