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Care Coordination After Hospital Discharge, Complex

Hawaii 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?

$219

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $219 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $219 · 10th to 90th $155 to $331
$20$50$100$200professional $219

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
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$309.03
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$295.12
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$426.58
HMSA
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$288.40
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$363.08
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$257.04
Typical High
$575.44

Where Hawaii 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.

Hawaii· 36th of 51

$219

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.