SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A DETAILED INTERVAL HISTORY; A DETAILED EXAMINATION; MEDICAL DECISION MAKING OF HIGH 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 PATIENT IS UNSTABLE OR HAS DEVELOPED A SIGNIFICANT COMPLICATION OR A SIGNIFICANT NEW PROBLEM. TYPICALLY, 35 MINUTES ARE SPENT AT THE BEDSIDE AND ON THE PATIENT'S HOSPITAL FLOOR OR UNIT.

Reported by 8 hospitals in the network under the percent of billed charges methodology.

National pricing summary

Low

$92

Average

$146

Median

$130

High

$284

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects a negotiated percentage of total billed charges.

Price distribution

Percent of billed charges methodology

Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 8 hospitals; the 90th percentile is 1.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.

Click a bar to filter the hospitals table to that price range.

Highest hospital$284
90th percentile$200
75th percentile$141
Median$130
25th percentile$120
10th percentile$108
Lowest hospital$92

Hospitals reporting HCPCS 99226

#	Hospital	Location
1	Winneshiek Medical Center	Decorah, IA	$284	$284	—	—	$20	$284
2	UPMC Pinnacle Hospitals	Harrisburg, PA	$164	$164	—	—	$164	$164
3	Bronson Methodist Hospital	Kalamazoo, MI	$111	$122	$31	—	$92	$173
4	Bronson Battle Creek Hospital	Battle Creek, MI	$133	$133	$31	—	$92	$173
5	Bronson LakeView Hospital	Paw Paw, MI	$116	$127	$34	—	$92	$173
6	Bronson South Haven Hospital	South Haven, MI	$133	$133	$40	—	$92	$173
7	Oktibbeha County Hospital	STARKVILLE, MS	$99	$92	$22	—	$39	$133
8	Holland Community Hospital	Holland, MI	$133	$114	$47	—	$46	$214

Look up this code directly

Ask Claude or any MCP client for HCPCS 99226 pricing at a specific hospital — see how to connect.

SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A DETAILED INTERVAL HISTORY; A DETAILED EXAMINATION; MEDICAL DECISION MAKING OF HIGH 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 PATIENT IS UNSTABLE OR HAS DEVELOPED A SIGNIFICANT COMPLICATION OR A SIGNIFICANT NEW PROBLEM. TYPICALLY, 35 MINUTES ARE SPENT AT THE BEDSIDE AND ON THE PATIENT'S HOSPITAL FLOOR OR UNIT.