Initial observation care visit, per day

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Initial observation care

Payers reporting CPT 99220

Payer pricing summary

Low

$95

Average

$481

Median

$381

High

$1.5k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +14 other terms	62	$1.3k	$924	$1.1k	115%	—	$6 – $8.3k
2	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	35	$411	$512	$262	51%	—	$0 – $982
3	UnitedHealthcare fee schedule · both · +18 other terms	34	$122	$155	$71	46%	—	$26 – $250
4	Anthem fee schedule · both · +15 other terms	26	$130	$156	$63	41%	—	$130 – $369
5	Aetna fee schedule · outpatient · +17 other terms	19	$180	$1.4k	$2.3k	166%	—	$6 – $8.4k
6	Caresource facility · case rate · outpatient · +5 other terms	15	$63	$68	$16	23%	—	$42 – $108
7	Molina facility · case rate · outpatient · +5 other terms	15	$62	$68	$16	23%	—	$44 – $106
8	Wellmark fee schedule · both · +7 other terms	13	$291	$291	—	—	—	$291 – $291
9	Amerihealth Caritas fee schedule · both · +2 other terms	12	$132	$132	—	—	—	$132 – $132
10	WellCare fee schedule · both · +4 other terms	12	$132	$131	$0	0%	—	$130 – $132
11	Cigna fee schedule · both · +19 other terms	11	$225	$282	$187	66%	—	$190 – $830
12	Optum facility · case rate · outpatient · +2 other terms	11	$59	$64	$14	22%	—	$53 – $96
13	Devoted facility · fee schedule · outpatient · +3 other terms	8	$108	$120	$26	21%	—	$106 – $184
14	Medica fee schedule · outpatient · +2 other terms	8	$415	$404	$109	27%	—	$176 – $484
15	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$829	$838	$279	33%	—	$430 – $1.0k
16	MultiPlan fee schedule · inpatient · +11 other terms	7	$494	$475	$38	8%	—	$364 – $494
17	First Health fee schedule · both · +11 other terms	6	$181	$189	$18	10%	—	$181 – $229
18	Ambetter fee schedule · both · +6 other terms	5	$332	$331	$20	6%	—	$229 – $349
19	Phcs fee schedule · outpatient · +8 other terms	5	$494	$432	$125	29%	—	$183 – $494
20	Magellan fee schedule · both · +5 other terms	4	$0	$0	—	—	—	$0 – $0
21	Bcbs Tx facility · fee schedule · outpatient · +1 other terms	3	$651	$651	$15	2%	—	$630 – $662
22	Aetna Better Health fee schedule · inpatient	2	$498	$498	—	—	—	$498 – $498
23	Bcbs Vt professional · fee schedule · outpatient	2	$293	$374	$181	48%	—	$159 – $639
24	Kaiser fee schedule · both · +6 other terms	2	$301	$301	—	—	—	$301 – $301
25	Sanford Health Plan fee schedule · inpatient · +1 other terms	2	$417	$417	$33	8%	—	$384 – $449

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