Price Checker / CPT 99222
How much does 1st Hospital Ip/obs Moderate 55 cost?
CPT 99222 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$470–$550
What this should cost
With insurance
~$202,100
Typical out-of-pocket
Overcharged if over
$690
Push back above this
What hospitals charge for 1st Hospital Ip/obs Moderate 55
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Columbus Springs Dublin , OH | $2,921 | — | 2399% |
| Gateways Hospital and Mental Health Center Los Angeles, CA | $1,433 | — | 1126% |
| Rainier Springs VANCOUVER, WA | $225 | — | 1068% |
| Copper Springs , AZ | $225 | — | 915% |
| EHHS Milton Clinic , WI | $376 | $274 | 222% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $312 | $250 | 167% |
| Ridgeview Psychiatric Hospital and Center, Inc. Oak Ridge, TN | $500 | — | 116% |
| Highland Springs LLC BEACHWOOD, OH | $225 | $950 | 92% |
| JD McCarty Center Norman, OK | $175 | — | 62% |
| Eastside Psychiatric Hospital TALLAAHASSEE, FL | $200 | — | 57% |
| Porter-Starke Services Inpatient Care Center Valparaiso, IN | $190 | — | 53% |
| BayPointe Hospital Mobile, AL | $175 | — | 50% |
| EastPointe Hospital Daphne, AL | $175 | — | 50% |
| NATCHAUG HOSPITAL MANSFIELD CENTER, CT | $312 | — | 50% |
| Generations Behavioral Health Geneva GENEVA, CA | $245 | — | 49% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About 1st Hospital Ip/obs Moderate 55
CPT code 99222 refers to 1st hospital ip/obs moderate 55 (billing description: "1st hosp ip/obs moderate 55"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $117 in a facility (hospital or surgery center) and $117 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.