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Care Coordination After Hospital Discharge, Complex

Nebraska 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?

$275

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $245 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$275$186 to $417
FacilityA hospital or hospital-owned outpatient department$245$174 to $316

How much rates vary

Facilitymedian $245 · 10th to 90th $141 to $427Professionalmedian $275 · 10th to 90th $117 to $617
$50$100$200$500$1Kfacility $245professional $275

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
$117.49
Median
$245.47
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$269.15
Typical High
$660.69
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$407.38
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$134.90
Median
$316.23
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$426.58
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$645.65

Where Nebraska 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.

Nebraska· 6th of 51

$275

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.