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Care Coordination After Hospital Discharge, Complex

Washington, DC 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?

$214

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $170 to $269.

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.

How much rates vary

Facilitymedian $269 · 10th to 90th $178 to $575Professionalmedian $214 · 10th to 90th $155 to $295
$20$50$100$200$500facility $269professional $214

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
$177.83
Median
$177.83
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$295.12
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$295.12
Typical High
$363.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$524.81

Where Washington, DC 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.

Washington, DC· 46th of 51

$214

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.