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Follow-Up Care After Leaving the Hospital, Moderate

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $331 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 4 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$162$132 to $178
FacilityA hospital or hospital-owned outpatient department$331$209 to $331

How much rates vary

Facilitymedian $331 · 10th to 90th $138 to $437Professionalmedian $162 · 10th to 90th $117 to $219
$100$200$500facility $331professional $162

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$218.78
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$218.78
Median
$218.78
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$257.04
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$281.84

Where Rhode Island 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.

Rhode Island· 25th 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.