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Follow-Up Care After Leaving the Hospital, Moderate

Montana 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?

$195

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $234 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 6 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$138 to $302
FacilityA hospital or hospital-owned outpatient department$234$182 to $324

How much rates vary

Facilitymedian $234 · 10th to 90th $132 to $363Professionalmedian $191 · 10th to 90th $115 to $417
$100$1K$10K$100Kfacility $234professional $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
$31.62
Median
$154.88
Typical High
$194.98
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$426.58
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$81.28
Median
$302.00
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$331.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$363.08
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$194.98
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$354.81

Where Montana 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.

Montana· 9th of 51

$195

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.