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Follow-Up Care After Leaving the Hospital, Moderate

Oregon 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?

$209

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $257 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 8 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$204$148 to $324
FacilityA hospital or hospital-owned outpatient department$257$170 to $363

How much rates vary

Facilitymedian $257 · 10th to 90th $132 to $407Professionalmedian $204 · 10th to 90th $115 to $513
$50$100$200$500facility $257professional $204

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
$134.90
Median
$263.03
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$512.86
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$302.00
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$346.74
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$275.42
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$501.19
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$245.47
Typical High
$446.68
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$524.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$478.63

Where Oregon 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.

Oregon· 4th of 51

$209

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.