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Follow-Up Care After Leaving the Hospital, Moderate

New Jersey 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?

$155

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $158 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$155$120 to $186
FacilityA hospital or hospital-owned outpatient department$158$132 to $282

How much rates vary

Facilitymedian $158 · 10th to 90th $120 to $309Professionalmedian $155 · 10th to 90th $107 to $251
$100$200$500facility $158professional $155

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
$120.23
Median
$147.91
Typical High
$281.84
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$239.88
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$147.91
Median
$218.78
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$371.54
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$354.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$338.84
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$660.69
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$165.96
Typical High
$323.59

Where New Jersey 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.

New Jersey· 46th of 51

$155

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.