Price Checker / CPT 99239
CPT 99239 — Hosp ip/obs dschrg mgmt >30
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
$1,162
Based on 19 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 99239
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 | — | — | 14836% |
| Gateways Hospital and Mental Health Center , CA | $1,322 | $1,322 | 1141% |
| Gateways Hospital and Mental Health Center Los Angeles, CA | $1,322 | — | 1141% |
| Northeastern Center , IN | $394 | — | 270% |
| hebrew rehabilitation center hospital , MA | $283 | $283 | 166% |
| Pine Rest Christian Mental Health Services , MI | $269 | $215 | 152% |
| RCG Taft Street , IN | $250 | $250 | 135% |
| Serenity Springs Specialty Hospital Ruston, LA | $250 | — | 135% |
| Haven Behavioral Hospital of West Chester , PA | $241 | — | 126% |
| Lindner Center of Hope , OH | $225 | $133 | 111% |
| Highland Springs LLC , OH | $200 | $950 | 88% |
| University of Michigan Health - West , MI | $197 | $79 | 85% |
| Ochsner Specialty Hospital Meridian, MS | $144 | — | 60% |
| Henry Ford Kingswood Hospital Ferndale, MI | $335 | — | 59% |
| Henry Ford Brighton Center for Recovery Brighton, MI | — | — | 41% |
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About CPT 99239
CPT code 99239 refers to “Hosp ip/obs dschrg mgmt >30”. 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.