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Care Coordination After Hospital Discharge, Complex

North Dakota 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?

$324

Typical physician fee. In North Dakota, July 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $195 to $575.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $174 · 10th to 90th $123 to $550Professionalmedian $347 · 10th to 90th $158 to $676
$100$200$500facility $174professional $347

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
$120.23
Median
$162.18
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$676.08
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$275.42
Median
$275.42
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$602.56

Where North Dakota 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.

North Dakota· 2nd of 51

$324

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.