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Extended Bedside Care, Each Further Half Hour

Washington rates for HCPCS 99357

Each further block of roughly half an hour that a doctor spends attending directly to a patient in hospital or under observation, once the first extra hour of prolonged care has already been used. It is billed in addition to the day's main visit and the first block of extra time.

Rates data updated July 2026.

How much does Extended Bedside Care, Each Further Half 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$112 to $195
FacilityA hospital or hospital-owned outpatient department$141$97.72 to $186

How much rates vary

Facilitymedian $141 · 10th to 90th $74 to $219Professionalmedian $151 · 10th to 90th $74 to $219
$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
$165.96
Median
$165.96
Typical High
$208.93
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
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$173.78

Where Washington sits

The same service costs 15.1 times more in Massachusetts 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· 22nd of 43

$145

MA $457SC $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.