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Care Coordination After Hospital Discharge, Complex

Utah 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 Utah, 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 $234 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$186 to $282
FacilityA hospital or hospital-owned outpatient department$234$200 to $234

How much rates vary

Facilitymedian $234 · 10th to 90th $200 to $316Professionalmedian $229 · 10th to 90th $148 to $331
$20$50$100$200$500facility $234professional $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
$199.53
Median
$199.53
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$208.93
Median
$295.12
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$389.05
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$363.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$398.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$234.42
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$380.19

Where Utah 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.

Utah· 19th 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.