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Care Coordination After Hospital Discharge, Complex

New Jersey 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?

$219

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $263 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$219$170 to $269
FacilityA hospital or hospital-owned outpatient department$263$174 to $389

How much rates vary

Facilitymedian $263 · 10th to 90th $126 to $490Professionalmedian $219 · 10th to 90th $148 to $363
$100$200$500facility $263professional $219

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
$125.89
Median
$208.93
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$213.80
Typical High
$338.84
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$208.93
Median
$269.15
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$263.03
Median
$269.15
Typical High
$281.84
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$457.09
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$676.08
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$426.58

Where New Jersey 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.

New Jersey· 35th of 51

$219

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.