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Care Coordination After Hospital Discharge, Complex

Virginia 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 Virginia, 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 $251 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$219$174 to $269
FacilityA hospital or hospital-owned outpatient department$251$191 to $288

How much rates vary

Facilitymedian $251 · 10th to 90th $155 to $417Professionalmedian $219 · 10th to 90th $155 to $331
$100$200$500$1K$2K$5K$10Kfacility $251professional $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
$141.25
Median
$275.42
Typical High
$416.87
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$281.84
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$363.08
Median
$363.08
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$177.83
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$323.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Sentara
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$446.68

Where Virginia 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.

Virginia· 32nd 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.