Price Checker / CPT 99292
How much does Critical Care Addl 30 Min cost?
CPT 99292 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 64x the fair price — among the most extreme markups. Dispute this.
Fair price
$200–$400
What this should cost
With insurance
~$111,400
Typical out-of-pocket
Overcharged if over
$500
Push back above this
The average hospital charge of $19,263 is $18,963 over the fair price (about 64x the fair rate).
What hospitals charge for Critical Care Addl 30 Min
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Hunt Regional Healthcare Greenville, TX | $1,993 | — | 178458% |
| John Muir Health Behavioral Health Center , CA | $62,028 | $27,913 | 46210% |
| John Muir Health Concord Medical Center , CA | $62,028 | $27,913 | 46210% |
| Granville Health System Oxford, NC | $3,900 | — | 2812% |
| Coon Memorial Hospital DALHART, TX | $3,250 | — | 1274% |
| McBride Orthopedic Hospital OKLAHOMA CITY, OK | $1,264 | $1,264 | 844% |
| Mackinac Straits Health System Saint Ignace, MI | $377 | — | 166% |
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 Critical Care Addl 30 Min
CPT code 99292 refers to critical care addl 30 min (billing description: "Critical care addl 30 min"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $100 in a facility (hospital or surgery center) and $134 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.