Price Checker / CPT 99236
CPT 99236 — Hosp ip/obs same date hi 85
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$190
What Medicare pays in a hospital/ASC setting
$190
What Medicare pays in a physician's office
$722
Based on 14 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 99236
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 , CA | $2,028 | $2,028 | 969% |
| Gateways Hospital and Mental Health Center Los Angeles, CA | $2,028 | — | 969% |
| HealthSource Saginaw , MI | — | — | 509% |
| Mackinac Straits Health System Saint Ignace, MI | $701 | — | 249% |
| EHHS Milton Clinic , WI | $596 | $435 | 214% |
| BARAGA COUNTY MEMORIAL HOSPITAL , MI | $581 | $581 | 206% |
| Pine Rest Christian Mental Health Services , MI | $514 | $411 | 171% |
| RCG Taft Street , IN | $490 | $490 | 158% |
| RCG Taft Street , IN | $490 | — | 158% |
| Highland Springs LLC , OH | $325 | $950 | 71% |
| Pathways Behavioral Health Services , TN | $306 | $306 | 61% |
| BayPointe Hospital Mobile, AL | $300 | — | 58% |
| EastPointe Hospital Daphne, AL | $300 | — | 58% |
| Porter-Starke Services Inpatient Care Center Valparaiso, IN | $288 | — | 52% |
Were you billed for this procedure?
Upload your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free, 60 seconds.
About CPT 99236
CPT code 99236 refers to “Hosp ip/obs same date hi 85”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $190 in a facility (hospital or ambulatory surgery center) and $190in 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.