go back

Follow-Up Care After Leaving the Hospital, Moderate

Ohio 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?

$166

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $145 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 9 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$166$129 to $234
FacilityA hospital or hospital-owned outpatient department$145$115 to $295

How much rates vary

Facilitymedian $145 · 10th to 90th $59 to $479Professionalmedian $166 · 10th to 90th $110 to $347
$50$100$200$500facility $145professional $166

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
$58.88
Median
$144.54
Typical High
$478.63
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$141.25
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$363.08
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$218.78
Median
$288.40
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$204.17
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$275.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$158.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$302.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$213.80
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$281.84

Where Ohio 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.

Ohio· 27th of 51

$166

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.