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Care Coordination After Hospital Discharge, Complex

Alabama rates for HCPCS 99496

This service covers the coordination and management of a patient's care during the weeks following a hospital stay, for cases involving more complex medical decision-making. It includes a face-to-face visit soon after discharge along with ongoing coordination such as medication review and communication with other providers. It's meant to help prevent complications or readmission during a vulnerable transition period.

Rates data updated July 2026.

How much does Care Coordination After Hospital Discharge, Complex cost?

$209

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $170 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 5 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$209$158 to $229
FacilityA hospital or hospital-owned outpatient department$170$155 to $191

How much rates vary

Facilitymedian $170 · 10th to 90th $141 to $229Professionalmedian $209 · 10th to 90th $151 to $263
$100$200facility $170professional $209

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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$257.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$234.42
Median
$269.15
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$245.47
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$309.03

Where Alabama 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.

Alabama· 49th of 51

$209

MN $389DE $186

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.