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Care Coordination After Hospital Discharge, Complex

Missouri 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?

$234

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $214 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$234$178 to $324
FacilityA hospital or hospital-owned outpatient department$214$135 to $282

How much rates vary

Facilitymedian $214 · 10th to 90th $123 to $363Professionalmedian $234 · 10th to 90th $145 to $457
$50$100$200$500$1Kfacility $214professional $234

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
$25.12
Median
$194.98
Typical High
$363.08
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$467.74
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$165.96
Median
$295.12
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$239.88
Median
$275.42
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$380.19

Where Missouri 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.

Missouri· 18th of 51

$234

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.