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Complex Chronic Care Management, First Hour

Oregon rates for HCPCS 99487

This service covers the first hour, per month, of behind-the-scenes care coordination for a person with multiple serious, ongoing health conditions. Clinical staff spend this time each month organizing care between different providers, managing medications, and addressing complex needs that require significant medical decision-making, typically without the patient being present. It reflects a higher level of coordination than routine chronic condition management.

Rates data updated July 2026.

How much does Complex Chronic Care Management, First Hour cost?

$117

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $162 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 8 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$115$83.18 to $195
FacilityA hospital or hospital-owned outpatient department$162$95.50 to $257

How much rates vary

Facilitymedian $162 · 10th to 90th $74 to $269Professionalmedian $115 · 10th to 90th $69 to $288
$50$100$200$500facility $162professional $115

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$208.93
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$239.88
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$331.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$165.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$338.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$173.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$288.40
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$630.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$295.12

Where Oregon sits

The same service costs 2.6 times more in Minnesota than in Delaware. 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.

Oregon· 6th of 51

$117

MN $195DE $74.13

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.