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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 October 2026.

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

$224

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $316 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$166 to $282
FacilityA hospital or hospital-owned outpatient department$316$209 to $407

How much rates vary

Facilitymedian $316 · 10th to 90th $174 to $631Professionalmedian $224 · 10th to 90th $129 to $355
$100$200$500$1Kfacility $316professional $224

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
$123.03
Median
$275.42
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$165.96
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$72.44
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$309.03
Typical High
$407.38
Hally Health
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$169.82
Typical High
$331.13
Medica
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$316.23
Typical High
$630.96
Medica
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$407.38
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$281.84
Typical High
$281.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$281.84
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$331.13
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$204.17
Typical High
$389.05
Wellmark
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$173.78
Typical High
$257.04

Where Iowa 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.

Iowa· 11th of 51

$224

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.