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Follow-Up Care After Leaving the Hospital, Moderate

Michigan 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?

$162

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $126 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$162$138 to $204
FacilityA hospital or hospital-owned outpatient department$126$117 to $151

How much rates vary

Facilitymedian $126 · 10th to 90th $105 to $214Professionalmedian $162 · 10th to 90th $112 to $282
$50$100$200$500facility $126professional $162

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
$104.71
Median
$125.89
Typical High
$213.80
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$288.40
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$147.91
Median
$213.80
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$346.74
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$204.17
Median
$208.93
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$97.72
Typical High
$100.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$467.74
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$251.19
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$239.88

Where Michigan 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.

Michigan· 31st of 51

$162

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.