INITIAL OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT WHICH REQUIRES THESE 3 KEY COMPONENTS: A DETAILED OR COMPREHENSIVE HISTORY; A DETAILED OR COMPREHENSIVE EXAMINATION; AND MEDICAL DECISION MAKING THAT IS STRAIGHTFORWARD OR OF LOW COMPLEXITY. COUNSELING AND/OR COORDINATION OF CARE WITH OTHER PHYSICIANS, OTHER QUALIFIED HEALTH CARE PROFESSIONALS, OR AGENCIES ARE PROVIDED CONSISTENT WITH THE NATURE OF THE PROBLEM(S) AND THE PATIENT'S AND/OR FAMILY'S NEEDS. USUALLY, THE PROBLEM(S) REQUIRING ADMISSION TO OUTPATIENT HOSPITAL "OBSERVATION STATUS" ARE OF LOW SEVERITY. TYPICALLY, 30 MINUTES ARE SPENT AT THE BEDSIDE AND ON THE PATIENT'S HOSPITAL FLOOR OR UNIT.

Reported by 6 hospitals in the network under the percent of billed charges methodology.

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All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$82

Average

$150

Median

$90

High

$396

Hospitals reporting HCPCS 99218

#	Hospital	Location
1	Winneshiek Medical Center	Decorah, IA	$396	$396	—	—	$20	$396
2	UPMC Pinnacle Hospitals	Harrisburg, PA	$156	$156	—	—	$156	$156
3	Bronson Methodist Hospital	Kalamazoo, MI	$75	$82	$21	—	$62	$117
4	Bronson Battle Creek Hospital	Battle Creek, MI	$90	$90	$21	—	$62	$117
5	Bronson LakeView Hospital	Paw Paw, MI	$78	$86	$23	—	$62	$117
6	Bronson South Haven Hospital	South Haven, MI	$90	$90	$27	—	$62	$117

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INITIAL OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT WHICH REQUIRES THESE 3 KEY COMPONENTS: A DETAILED OR COMPREHENSIVE HISTORY; A DETAILED OR COMPREHENSIVE EXAMINATION; AND MEDICAL DECISION MAKING THAT IS STRAIGHTFORWARD OR OF LOW COMPLEXITY. COUNSELING AND/OR COORDINATION OF CARE WITH OTHER PHYSICIANS, OTHER QUALIFIED HEALTH CARE PROFESSIONALS, OR AGENCIES ARE PROVIDED CONSISTENT WITH THE NATURE OF THE PROBLEM(S) AND THE PATIENT'S AND/OR FAMILY'S NEEDS. USUALLY, THE PROBLEM(S) REQUIRING ADMISSION TO OUTPATIENT HOSPITAL "OBSERVATION STATUS" ARE OF LOW SEVERITY. TYPICALLY, 30 MINUTES ARE SPENT AT THE BEDSIDE AND ON THE PATIENT'S HOSPITAL FLOOR OR UNIT.