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Care Coordination After Hospital Discharge, Complex

Michigan 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 Michigan, 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 $195 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$191 to $282
FacilityA hospital or hospital-owned outpatient department$195$115 to $275

How much rates vary

Facilitymedian $195 · 10th to 90th $95 to $355Professionalmedian $214 · 10th to 90th $155 to $339
$100$200$500facility $195professional $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
$95.50
Median
$154.88
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$338.84
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$208.93
Median
$295.12
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$239.88
Median
$275.42
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$138.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$512.86
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$660.69
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$354.81
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$338.84

Where Michigan 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.

Michigan· 38th 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.