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Care Coordination After Hospital Discharge, Complex

West 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?

$275

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $269 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 5 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$269$191 to $398
FacilityA hospital or hospital-owned outpatient department$288$224 to $363

How much rates vary

Facilitymedian $288 · 10th to 90th $204 to $417Professionalmedian $269 · 10th to 90th $158 to $513
$200$500facility $288professional $269

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
$204.17
Median
$288.40
Typical High
$416.87
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$208.93
Median
$288.40
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$512.86
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$331.13
Median
$331.13
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$1,445.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$489.78
Highmark BCBS
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$239.88
Median
$263.03
Typical High
$588.84
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$407.38

Where West 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.

West Virginia· 5th of 51

$275

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.