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Care Coordination After Hospital Discharge, Complex

Arizona 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?

$234

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $234 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 6 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$234$178 to $339
FacilityA hospital or hospital-owned outpatient department$234$182 to $347

How much rates vary

Facilitymedian $234 · 10th to 90th $145 to $741Professionalmedian $234 · 10th to 90th $155 to $550
$100$200$500$1Kfacility $234professional $234

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
$123.03
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$562.34
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$398.11
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$229.09
Median
$251.19
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$660.69
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$389.05

Where Arizona 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.

Arizona· 17th of 51

$234

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.