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Extended Bedside Care, First Extra Hour

California rates for HCPCS 99356

Extra time a doctor spends attending directly to a patient in hospital or under observation, beyond what the day's usual visit covers — for example when someone deteriorates and needs prolonged attention at the bedside. It covers the first additional hour and is billed in addition to the day's main visit.

Rates data updated July 2026.

How much does Extended Bedside Care, First Extra Hour cost?

$398

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $123 to $676.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $347 · 10th to 90th $347 to $347Professionalmedian $676 · 10th to 90th $85 to $676
$100$200$500$1Kfacility $347professional $676

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$436.52
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
$346.74
Median
$346.74
Typical High
$346.74
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$134.90

Where California sits

The same service costs 22.4 times more in Oklahoma 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· 9th of 46

$398

OK $676SC $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.