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Extended Bedside Care, First Extra Hour

Washington 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?

$145

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $141 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$97.72 to $195
FacilityA hospital or hospital-owned outpatient department$141$97.72 to $191

How much rates vary

Facilitymedian $141 · 10th to 90th $81 to $214Professionalmedian $151 · 10th to 90th $79 to $214
$100$200facility $141professional $151

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
$162.18
Median
$162.18
Typical High
$204.17
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$151.36
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$173.78

Where Washington 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.

Washington· 23rd of 46

$145

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.