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Care Coordination After Hospital Discharge, Complex

Iowa 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?

$269

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $275 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$269$209 to $372
FacilityA hospital or hospital-owned outpatient department$275$178 to $347

How much rates vary

Facilitymedian $275 · 10th to 90th $151 to $501Professionalmedian $269 · 10th to 90th $151 to $661
$50$100$200$500$1Kfacility $275professional $269

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
$117.49
Median
$245.47
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$660.69
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$363.08
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$645.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$660.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$478.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$407.38

Where Iowa 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.

Iowa· 9th of 51

$269

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.