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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 October 2026.

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

$148

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $158 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$148$120 to $158
FacilityA hospital or hospital-owned outpatient department$158$107 to $347

How much rates vary

Facilitymedian $158 · 10th to 90th $107 to $562Professionalmedian $148 · 10th to 90th $107 to $204
$100$200$500facility $158professional $148

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
$107.15
Median
$120.23
Typical High
$158.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$147.91
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$61.66
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$218.78
Typical High
$323.59
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$245.47
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$158.49
Typical High
$316.23
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$446.68
Typical High
$616.60
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$181.97
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$562.34
United
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$169.82
Typical High
$331.13

Where New Jersey 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.

New Jersey· 42nd of 51

$148

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.