Price Checker / CPT 99212
CPT 99212 — Office o/p est sf 10 min
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$31
What Medicare pays in a hospital/ASC setting
$59
What Medicare pays in a physician's office
$559
Based on 25 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 99212
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Arroyo Grande Community Hospital Arroyo Grande, CA | $305 | — | 1681984% |
| Dominican Hospital Santa Cruz, CA | $1,937 | — | 1681984% |
| PeaceHealth Peace Harbor Medical Center , OR | $355 | — | 9732% |
| PeaceHealth Ketchikan Medical Center , AK | $219 | — | 9529% |
| McLaren Bay Region , MI | $3,411 | $1,705 | 5638% |
| Columbus Springs Dublin , OH | $2,921 | — | 4813% |
| Rainier Springs , WA | $75 | — | 2196% |
| Copper Springs , AZ | $75 | — | 1895% |
| Adams County Regional Medical Center , OH | $1,080 | $864 | 1717% |
| Hutchinson Hospital , MN | $681 | $320 | 1046% |
| Fairmont Hospital , CA | $532 | $266 | 796% |
| Iroquois Memorial Hospital , IL | $365 | $255 | 513% |
| Hospital for Special Care , CT | $334 | $334 | 462% |
| RCG Taft Street , IN | $300 | $300 | 405% |
| Connally Memorial Health Centers - Main Campus Floresville, TX | $102 | — | 270% |
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About CPT 99212
CPT code 99212 refers to “Office o/p est sf 10 min”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $31 in a facility (hospital or ambulatory surgery center) and $59in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.