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Care Coordination After Hospital Discharge, Complex

Vermont 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 physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $174 to $295.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $229 · 10th to 90th $117 to $316
$20$50$100$200professional $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
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$316.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$295.12
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$467.74
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$575.44

Where Vermont 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.

Vermont· 26th 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.