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Care Coordination After Hospital Discharge, Complex

Colorado 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 Colorado, 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 $219 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 7 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$166 to $251
FacilityA hospital or hospital-owned outpatient department$219$170 to $257

How much rates vary

Facilitymedian $219 · 10th to 90th $155 to $324Professionalmedian $209 · 10th to 90th $148 to $347
$100$200$500facility $219professional $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
$169.82
Median
$169.82
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$316.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$208.93
Median
$630.96
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$446.68
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$331.13
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$776.25
Typical High
$831.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$645.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$489.78

Where Colorado 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.

Colorado· 50th 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.