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Care Coordination After Hospital Discharge, Complex

Idaho 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?

$257

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $251 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$257$209 to $363
FacilityA hospital or hospital-owned outpatient department$251$178 to $288

How much rates vary

Facilitymedian $251 · 10th to 90th $129 to $407Professionalmedian $257 · 10th to 90th $166 to $575
$100$200$500$1Kfacility $251professional $257

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
$125.89
Median
$257.04
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$602.56
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$208.93
Median
$467.74
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$436.52
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$331.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$398.11

Where Idaho 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.

Idaho· 11th of 51

$257

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.