# CPT 99234: Hospital inpatient or observation care, same date admission and discharge, straightforward to low medical decision making

Medicare CPT 99234 pays $88.18 in a non-facility setting and $88.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.10 in Arkansas to $119.88 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/99234-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $88.18 |
| National facility | $88.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $119.88 | $119.88 |
| New York | $95.28 | $95.28 |
| District of Columbia | $95.20 | $95.20 |
| New Jersey | $94.05 | $94.05 |
| Florida | $93.92 | $93.92 |
| Illinois | $93.37 | $93.37 |
| Connecticut | $91.96 | $91.96 |
| Washington | $91.17 | $91.17 |
| Massachusetts | $91.04 | $91.04 |
| California | $90.64 | $90.64 |
| Maryland | $90.17 | $90.17 |
| Michigan | $89.69 | $89.69 |
| Rhode Island | $89.31 | $89.31 |
| Pennsylvania | $88.88 | $88.88 |
| West Virginia | $88.76 | $88.76 |
| Georgia | $88.75 | $88.75 |
| Colorado | $88.65 | $88.65 |
| Puerto Rico | $88.26 | $88.26 |
| Virgin Islands | $88.26 | $88.26 |
| Montana | $88.17 | $88.17 |
| New Mexico | $88.11 | $88.11 |
| New Hampshire | $88.06 | $88.06 |
| Texas | $87.88 | $87.88 |
| Oregon | $87.87 | $87.87 |
| Hawaii | $87.75 | $87.75 |
| Delaware | $87.72 | $87.72 |
| Nevada | $87.19 | $87.19 |
| Louisiana | $87.13 | $87.13 |
| Ohio | $86.89 | $86.89 |
| Arizona | $86.84 | $86.84 |
| Missouri | $86.82 | $86.82 |
| Utah | $86.64 | $86.64 |
| Wyoming | $86.62 | $86.62 |
| Virginia | $86.15 | $86.15 |
| South Carolina | $86.11 | $86.11 |
| Kentucky | $85.96 | $85.96 |
| Maine | $85.25 | $85.25 |
| Oklahoma | $85.19 | $85.19 |
| Vermont | $85.05 | $85.05 |
| North Carolina | $84.98 | $84.98 |
| North Dakota | $84.61 | $84.61 |
| Mississippi | $84.47 | $84.47 |
| Minnesota | $84.39 | $84.39 |
| South Dakota | $84.19 | $84.19 |
| Tennessee | $84.00 | $84.00 |
| Indiana | $83.97 | $83.97 |
| Idaho | $83.78 | $83.78 |
| Kansas | $83.72 | $83.72 |
| Alabama | $83.65 | $83.65 |
| Wisconsin | $83.37 | $83.37 |
| Nebraska | $83.26 | $83.26 |
| Iowa | $83.25 | $83.25 |
| Arkansas | $83.10 | $83.10 |

## Related codes

- 99235: Hospital inpatient or observation care, same date admission and discharge, moderate medical decision making — https://www.med-reveal.com/rates/99235-cpt-fee-schedule
- 99236: Hospital inpatient or observation care, same date admission and discharge, high medical decision making — https://www.med-reveal.com/rates/99236-cpt-fee-schedule
- G0463: Hospital outpatient clinic visit for assessment and management of a patient — https://www.med-reveal.com/rates/G0463-hcpcs-fee-schedule

Commercial negotiated rates for 99234 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules