Price Checker / CPT 99234
How much does Hospital Ip/obs Sm Dt Sf/low 45 cost?
CPT 99234 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about above the fair price. You have grounds to ask for a reduction.
Fair price
$280–$330
What this should cost
With insurance
~$264,100
Typical out-of-pocket
Overcharged if over
$410
Push back above this
The average hospital charge of $433 is $123 over the fair price.
What hospitals charge for Hospital Ip/obs Sm Dt Sf/low 45
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Gateways Hospital and Mental Health Center Los Angeles, CA | $1,256 | — | 1325% |
| HealthSource Saginaw SAGINAW, MI | — | — | 1211% |
| EHHS Milton Clinic , WI | $365 | $266 | 314% |
| BARAGA COUNTY MEMORIAL HOSPITAL L' ANSE, MI | $331 | $331 | 275% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $323 | $258 | 266% |
| Highland Springs LLC BEACHWOOD, OH | $225 | $950 | 155% |
| Porter-Starke Services Inpatient Care Center Valparaiso, IN | $200 | — | 97% |
| BayPointe Hospital Mobile, AL | $160 | — | 81% |
| EastPointe Hospital Daphne, AL | $160 | — | 81% |
| Pathways Behavioral Health Services , TN | $150 | $150 | 70% |
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 Hospital Ip/obs Sm Dt Sf/low 45
CPT code 99234 refers to hospital ip/obs sm dt sf/low 45 (billing description: "Hosp ip/obs sm dt sf/low 45"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $88 in a facility (hospital or surgery center) and $88 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.