Price Checker / CPT 99231
How much does Sbsq Hospital Ip/obs Sf/low 25 cost?
CPT 99231 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 19x the fair price — among the most extreme markups. Dispute this.
Fair price
$90–$100
What this should cost
With insurance
~$214,300
Typical out-of-pocket
Overcharged if over
$130
Push back above this
The average hospital charge of $1,793 is $1,698 over the fair price (about 19x the fair rate).
What hospitals charge for Sbsq Hospital Ip/obs Sf/low 25
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Good Samaritan University Hospital , NY | — | — | 26369% |
| St. Catherine of Siena Hospital SMITHTOWN, NY | — | — | 26369% |
| Methodist Medical Center of Oak Ridge OAK RIDGE, TN | — | — | 10263% |
| Roane County Medical Center , TN | — | — | 10263% |
| Columbus Springs Dublin , OH | $2,921 | — | 6525% |
| Rainier Springs VANCOUVER, WA | $100 | — | 2996% |
| Denver Springs Changes ENGLEWOOD, CO | $100 | — | 2622% |
| Denver Springs ENGLEWOOD, CO | $100 | — | 2622% |
| Copper Springs , AZ | $100 | — | 2590% |
| Westpark Springs Changes , TX | $100 | — | 2259% |
| Westpark Springs , TX | $100 | — | 2259% |
| Gateways Hospital and Mental Health Center Los Angeles, CA | $661 | — | 1400% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $139 | $111 | 215% |
| Eastside Psychiatric Hospital TALLAAHASSEE, FL | $100 | — | 127% |
| Highland Springs LLC BEACHWOOD, OH | $100 | $950 | 127% |
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 Sbsq Hospital Ip/obs Sf/low 25
CPT code 99231 refers to sbsq hospital ip/obs sf/low 25 (billing description: "Sbsq hosp ip/obs sf/low 25"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $44 in a facility (hospital or surgery center) and $44 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.