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Care Coordination After Hospital Discharge, Complex

Oregon 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?

$295

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $347 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 8 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$288$209 to $437
FacilityA hospital or hospital-owned outpatient department$347$234 to $479

How much rates vary

Facilitymedian $347 · 10th to 90th $174 to $550Professionalmedian $288 · 10th to 90th $166 to $676
$100$200$500$1Kfacility $347professional $288

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
$147.91
Median
$407.38
Typical High
$676.08
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$660.69
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$281.84
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$407.38
Typical High
$676.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$380.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$691.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$338.84
Typical High
$602.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$524.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$645.65

Where Oregon 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.

Oregon· 3rd of 51

$295

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.