Price Checker / CPT 99235
How much does Hospital Ip/obs Same Date Mod 70 cost?
CPT 99235 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$340–$400
What this should cost
With insurance
~$260,000
Typical out-of-pocket
Overcharged if over
$500
Push back above this
The average hospital charge of $462 is $92 over the fair price.
What hospitals charge for Hospital Ip/obs Same Date Mod 70
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 | $1,697 | — | 1087% |
| EHHS Milton Clinic , WI | $464 | $339 | 225% |
| BARAGA COUNTY MEMORIAL HOSPITAL L' ANSE, MI | $441 | $441 | 208% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $416 | $333 | 191% |
| Hardeman County Clinic Quanah, TX | $407 | — | 156% |
| Highland Springs LLC BEACHWOOD, OH | $275 | $950 | 92% |
| BayPointe Hospital Mobile, AL | $250 | — | 75% |
| EastPointe Hospital Daphne, AL | $250 | — | 75% |
| Porter-Starke Services Inpatient Care Center Valparaiso, IN | $232 | — | 62% |
| Pathways Behavioral Health Services , TN | $190 | $190 | 33% |
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 Same Date Mod 70
CPT code 99235 refers to hospital ip/obs same date mod 70 (billing description: "Hosp ip/obs same date mod 70"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $143 in a facility (hospital or surgery center) and $143 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.