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Care Coordination After Hospital Discharge, Complex

Tennessee 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 Tennessee, 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 $288 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 6 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$178 to $269
FacilityA hospital or hospital-owned outpatient department$288$209 to $447

How much rates vary

Facilitymedian $288 · 10th to 90th $166 to $1,202Professionalmedian $219 · 10th to 90th $151 to $363
$50$100$200$500$1Kfacility $288professional $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
$151.36
Median
$288.40
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$354.81
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$218.78
Median
$302.00
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$239.88
Median
$281.84
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$407.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$389.05

Where Tennessee 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.

Tennessee· 30th 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.