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Assisted Living Visit, New Patient, High Complexity

New Jersey 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 October 2026.

How much rates vary

Professionalmedian $309 · 10th to 90th $251 to $513
$500$1Kprofessional $309

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
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$309.03
Typical High
$512.86