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Care Coordination After Hospital Discharge, Complex

Florida 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 negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $257 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 8 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$214$170 to $257
FacilityA hospital or hospital-owned outpatient department$257$132 to $114,815

How much rates vary

Facilitymedian $257 · 10th to 90th $123 to $229,087Professionalmedian $214 · 10th to 90th $151 to $324
$100$1K$10K$100Kfacility $257professional $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
$107.15
Median
$131.83
Typical High
$380.19
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$316.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$323.59
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$288.40
Typical High
$309.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$309.03
AvMed
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$407.38
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$177,827.94
Typical High
$338,844.16
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$371.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$295.12

Where Florida 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.

Florida· 42nd 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.