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Follow-Up Care After Leaving the Hospital, Moderate

Iowa 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 July 2026.

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

$191

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $204 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 7 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$191$158 to $295
FacilityA hospital or hospital-owned outpatient department$204$158 to $309

How much rates vary

Facilitymedian $204 · 10th to 90th $117 to $398Professionalmedian $191 · 10th to 90th $115 to $550
$50$100$200$500facility $204professional $191

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
$114.82
Median
$181.97
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$549.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$50.12
Median
$302.00
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$478.63
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$363.08
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$302.00

Where Iowa sits

The same service costs 2.1 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.

Iowa· 12th of 51

$191

MN $288DE $138

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.