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Follow-Up Care After Leaving the Hospital, Moderate

California rates for HCPCS 99495

This service covers coordinated follow-up care provided to a patient during the weeks after being discharged from a hospital or facility stay, including a check-in and a required follow-up office visit. It applies to cases involving a moderate level of medical decision-making during that transition period.

Rates data updated October 2026.

How much does Follow-Up Care After Leaving the Hospital, Moderate cost?

$166

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $191 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 12 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$138 to $214
FacilityA hospital or hospital-owned outpatient department$191$158 to $257

How much rates vary

Facilitymedian $191 · 10th to 90th $141 to $501Professionalmedian $166 · 10th to 90th $117 to $363
$100$200$500$1Kfacility $191professional $166

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
Facility
Modifier
None
Typical Low
$120.23
Median
$147.91
Typical High
$177.83
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$70.79
Typical High
$89.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$147.91
Typical High
$234.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$70.79
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$208.93
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$194.98
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$194.98
Typical High
$371.54
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$316.23
Typical High
$398.11
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$173.78
Typical High
$323.59
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$204.17
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$173.78
Typical High
$251.19
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$295.12
Providence
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$204.17
Typical High
$316.23
Providence
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$173.78
Typical High
$309.03
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$165.96
Typical High
$398.11

Where California sits

The same service costs 2.8 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.

California· 28th of 51

$166

AK $339KY $120

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.