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Care Coordination After Hospital Discharge, Complex

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $162 to $263.

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

Facilitymedian $117 · 10th to 90th $112 to $182Professionalmedian $214 · 10th to 90th $145 to $389
$200$500facility $117professional $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
$112.20
Median
$117.49
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$457.09
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$478.63
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$275.42
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$446.68

Where Maine 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.

Maine· 40th 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.