go back

Follow-Up Care After Leaving the Hospital, Moderate

Missouri 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?

$120

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $263 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$120$100 to $162
FacilityA hospital or hospital-owned outpatient department$263$178 to $589

How much rates vary

Facilitymedian $263 · 10th to 90th $145 to $631Professionalmedian $120 · 10th to 90th $95 to $251
$100$200$500$1Kfacility $263professional $120

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
$177.83
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$141.25
Typical High
$177.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$70.79
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$213.80
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$112.20
Typical High
$181.97
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$199.53
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$190.55
Typical High
$302.00
Medica
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$407.38
Typical High
$630.96
Medica
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$891.25
Typical High
$1,288.25
Qualchoice
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$257.04
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$181.97
Typical High
$288.40

Where Missouri 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.

Missouri· 50th of 51

$120

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.