Price Checker / CPT 99233
CPT 99233 — Sbsq hosp ip/obs high 50
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$107
What Medicare pays in a hospital/ASC setting
$107
What Medicare pays in a physician's office
$1,009
Based on 23 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 99233
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "St. Francis Hospital & Heart Center®" , NY | — | — | 14790% |
| Gateways Hospital and Mental Health Center , CA | $1,256 | $1,256 | 1075% |
| Gateways Hospital and Mental Health Center Los Angeles, CA | $1,256 | — | 1075% |
| Copper Springs , AZ | $175 | — | 1010% |
| Haven Behavioral Hospital of Philadelphia , PA | $513 | — | 380% |
| Haven Behavioral Hospital of Albuquerque , NM | $400 | — | 274% |
| Mackinac Straits Health System Saint Ignace, MI | $345 | — | 205% |
| Pine Rest Christian Mental Health Services , MI | $310 | $248 | 190% |
| hebrew rehabilitation center hospital , MA | $290 | $290 | 171% |
| Haven Behavioral Hospital of West Chester , PA | $249 | — | 133% |
| Northeastern Center , IN | $236 | — | 121% |
| RCG Taft Street , IN | $234 | $234 | 119% |
| Lindner Center of Hope , OH | $230 | $136 | 115% |
| Barnes-Kasson County Hospital , PA | $225 | $158 | 111% |
| willow creek behavioral health , WV | $180 | — | 68% |
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About CPT 99233
CPT code 99233 refers to “Sbsq hosp ip/obs high 50”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $107 in a facility (hospital or ambulatory surgery center) and $107in 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.