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Care Coordination After Hospital Discharge, Complex

Montana 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 Montana, 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 $324 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 6 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$200 to $355
FacilityA hospital or hospital-owned outpatient department$324$245 to $389

How much rates vary

Facilitymedian $324 · 10th to 90th $170 to $490Professionalmedian $269 · 10th to 90th $166 to $501
$100$1K$10Kfacility $324professional $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
$112.20
Median
$144.54
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$501.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$281.84
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$489.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$489.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$489.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$371.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$269.15
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$478.63

Where Montana 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.

Montana· 10th 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.