# CPT 99236: Hospital inpatient or observation care, same date admission and discharge, high medical decision making

Medicare CPT 99236 pays $189.72 in a non-facility setting and $189.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $179.08 in Arkansas to $258.34 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/99236-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $189.72 |
| National facility | $189.72 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $258.34 | $258.34 |
| District of Columbia | $204.90 | $204.90 |
| New York | $204.78 | $204.78 |
| New Jersey | $202.40 | $202.40 |
| Florida | $201.22 | $201.22 |
| Illinois | $200.02 | $200.02 |
| Connecticut | $197.74 | $197.74 |
| Washington | $196.48 | $196.48 |
| Massachusetts | $196.14 | $196.14 |
| California | $195.60 | $195.60 |
| Maryland | $193.97 | $193.97 |
| Michigan | $192.54 | $192.54 |
| Rhode Island | $192.27 | $192.27 |
| Pennsylvania | $191.14 | $191.14 |
| Colorado | $190.99 | $190.99 |
| Georgia | $190.73 | $190.73 |
| West Virginia | $190.44 | $190.44 |
| Puerto Rico | $189.91 | $189.91 |
| Virgin Islands | $189.91 | $189.91 |
| Montana | $189.69 | $189.69 |
| New Hampshire | $189.61 | $189.61 |
| Oregon | $189.37 | $189.37 |
| Hawaii | $189.32 | $189.32 |
| New Mexico | $189.31 | $189.31 |
| Texas | $189.12 | $189.12 |
| Delaware | $188.81 | $188.81 |
| Nevada | $187.74 | $187.74 |
| Louisiana | $187.32 | $187.32 |
| Arizona | $186.93 | $186.93 |
| Ohio | $186.85 | $186.85 |
| Missouri | $186.72 | $186.72 |
| Wyoming | $186.59 | $186.59 |
| Utah | $186.45 | $186.45 |
| Virginia | $185.60 | $185.60 |
| South Carolina | $185.32 | $185.32 |
| Kentucky | $184.91 | $184.91 |
| Maine | $183.71 | $183.71 |
| Vermont | $183.44 | $183.44 |
| Oklahoma | $183.39 | $183.39 |
| North Carolina | $183.09 | $183.09 |
| North Dakota | $182.57 | $182.57 |
| Minnesota | $182.24 | $182.24 |
| Mississippi | $181.84 | $181.84 |
| South Dakota | $181.73 | $181.73 |
| Indiana | $181.05 | $181.05 |
| Tennessee | $181.05 | $181.05 |
| Idaho | $180.65 | $180.65 |
| Kansas | $180.48 | $180.48 |
| Alabama | $180.24 | $180.24 |
| Wisconsin | $179.97 | $179.97 |
| Nebraska | $179.61 | $179.61 |
| Iowa | $179.57 | $179.57 |
| Arkansas | $179.08 | $179.08 |

## Related codes

- 99234: Hospital inpatient or observation care, same date admission and discharge, straightforward to low medical decision making — https://www.med-reveal.com/rates/99234-cpt-fee-schedule
- 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
- 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 99236 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