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New York rates for HCPCS G0379

Direct admission of patient for hospital observation care

Facilitymedian $2,138 · 10th–90th $45–$15,1360%10%10th90th$2,138Professionalmedian $44 · 10th–90th $44–$1780%50%90th$44$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $2,137.96 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $3,801.89 / $8,709.64
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,445.44 / $1,737.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $549.54 / $38,018.94