Price Checker / CPT 99292
CPT 99292 — Critical care addl 30 min
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$100
What Medicare pays in a hospital/ASC setting
$134
What Medicare pays in a physician's office
$7,846
Based on 30 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 99292
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% |
| Mercy Medical Center - Redding , CA | $23,942 | $12,139 | 17775% |
| Alameda Hospital , CA | $6,811 | $3,406 | 4985% |
| San Leandro Hospital , CA | $6,811 | $3,406 | 4985% |
| St. Anthony Summit Medical Center , CO | $5,693 | $2,277 | 4151% |
| St. Thomas More Hospital , CO | $4,925 | $1,970 | 3577% |
| Community Hospital North , OK | — | — | 3390% |
| Community Hospital South , OK | — | — | 3390% |
| Northwest Surgical Hospital , OK | — | — | 3390% |
| "UAB St. Vincent's St. Clair" , AL | — | — | 2986% |
| Granville Health System Oxford, NC | $3,900 | — | 2812% |
| Banner Casa Grande Medical Center , AZ | $3,807 | $826 | 2742% |
| Banner Goldfield Medical Center , AZ | $3,807 | $784 | 2742% |
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About CPT 99292
CPT code 99292 refers to “Critical care addl 30 min”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $100 in a facility (hospital or ambulatory surgery center) and $134in 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.