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Care Coordination After Hospital Discharge, Complex

Nevada 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?

$229

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $240 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$229$174 to $295
FacilityA hospital or hospital-owned outpatient department$240$166 to $240

How much rates vary

Facilitymedian $240 · 10th to 90th $166 to $240Professionalmedian $229 · 10th to 90th $155 to $513
$100$200$500$1Kfacility $240professional $229

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
$165.96
Median
$177.83
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$524.81
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$398.11
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$251.19
Median
$251.19
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$371.54
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$389.05
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$446.68
Select Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$295.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$389.05

Where Nevada 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.

Nevada· 21st of 51

$229

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.