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Care Coordination After Hospital Discharge, Complex

South Carolina 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?

$240

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $229 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$240$191 to $331
FacilityA hospital or hospital-owned outpatient department$229$158 to $295

How much rates vary

Facilitymedian $229 · 10th to 90th $145 to $437Professionalmedian $240 · 10th to 90th $155 to $550
$50$100$200$500$1Kfacility $229professional $240

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
$47.86
Median
$229.09
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$549.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$223.87
Median
$295.12
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$281.84
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$239.88
Median
$281.84
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$323.59
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$302.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$371.54

Where South Carolina 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.

South Carolina· 16th of 51

$240

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.