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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 October 2026.

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

$148

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $224 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$110 to $224
FacilityA hospital or hospital-owned outpatient department$224$162 to $269

How much rates vary

Facilitymedian $224 · 10th to 90th $102 to $269Professionalmedian $148 · 10th to 90th $62 to $234
$100$200$500facility $224professional $148

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$91.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$40.74
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$213.80
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$199.53
Typical High
$346.74
Moda Health
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$123.03
Typical High
$223.87
Moda Health
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$112.20
Typical High
$112.20
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$40.74
Typical High
$56.23
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$181.97
Typical High
$269.15
Providence
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$169.82
Typical High
$245.47
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$151.36
Typical High
$245.47
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$436.52
Typical High
$630.96
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$208.93
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$707.95
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$162.18
Typical High
$380.19

Where Oregon sits

The same service costs 3.4 times more in Alaska than in Kentucky. 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· 7th of 51

$148

AK $219KY $64.57

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.