# CPT 99460: 1st Hosp/birthing Center Care Per Day Nml Nb

Medicare CPT 99460 pays $80.83 in a non-facility setting and $80.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $77.10 in Arkansas to $111.92 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/99460-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $80.83 |
| National facility | $80.83 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $111.92 | $111.92 |
| District of Columbia | $87.01 | $87.01 |
| New York | $86.78 | $86.78 |
| New Jersey | $86.06 | $86.06 |
| Florida | $84.67 | $84.67 |
| Illinois | $84.28 | $84.28 |
| Connecticut | $83.93 | $83.93 |
| Washington | $83.78 | $83.78 |
| California | $83.62 | $83.62 |
| Massachusetts | $83.60 | $83.60 |
| Maryland | $82.52 | $82.52 |
| Rhode Island | $82.03 | $82.03 |
| Michigan | $81.69 | $81.69 |
| Colorado | $81.53 | $81.53 |
| Pennsylvania | $81.43 | $81.43 |
| Georgia | $81.13 | $81.13 |
| Oregon | $80.91 | $80.91 |
| Puerto Rico | $80.91 | $80.91 |
| Virgin Islands | $80.91 | $80.91 |
| West Virginia | $80.89 | $80.89 |
| Hawaii | $80.88 | $80.88 |
| New Hampshire | $80.85 | $80.85 |
| Montana | $80.82 | $80.82 |
| Texas | $80.70 | $80.70 |
| Delaware | $80.59 | $80.59 |
| New Mexico | $80.58 | $80.58 |
| Nevada | $80.17 | $80.17 |
| Louisiana | $79.91 | $79.91 |
| Arizona | $79.86 | $79.86 |
| Wyoming | $79.79 | $79.79 |
| Ohio | $79.76 | $79.76 |
| Missouri | $79.72 | $79.72 |
| Utah | $79.66 | $79.66 |
| Virginia | $79.44 | $79.44 |
| South Carolina | $79.26 | $79.26 |
| Kentucky | $79.08 | $79.08 |
| Maine | $78.77 | $78.77 |
| Vermont | $78.72 | $78.72 |
| Oklahoma | $78.58 | $78.58 |
| North Carolina | $78.53 | $78.53 |
| North Dakota | $78.45 | $78.45 |
| Minnesota | $78.38 | $78.38 |
| South Dakota | $78.17 | $78.17 |
| Mississippi | $78.02 | $78.02 |
| Indiana | $77.84 | $77.84 |
| Tennessee | $77.82 | $77.82 |
| Idaho | $77.70 | $77.70 |
| Kansas | $77.62 | $77.62 |
| Wisconsin | $77.52 | $77.52 |
| Alabama | $77.50 | $77.50 |
| Nebraska | $77.36 | $77.36 |
| Iowa | $77.33 | $77.33 |
| Arkansas | $77.10 | $77.10 |

## Related codes

- 99201: New Patient Office Visit: Coverage and Documentation Requirements — https://www.med-reveal.com/rates/99201-cpt-fee-schedule
- 99241: Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making — https://www.med-reveal.com/rates/99241-cpt-fee-schedule
- 99251: Inpatient consultation for a new or established patient which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. — https://www.med-reveal.com/rates/99251-cpt-fee-schedule
- 99288: Phys/qhp Direction Emergency Medical Systems — https://www.med-reveal.com/rates/99288-cpt-fee-schedule
- 99354: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99354-cpt-fee-schedule
- 99355: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99355-cpt-fee-schedule
- 99358: Prolng E/m Svc Before&/after Dir Pt Care 1st Hr — https://www.med-reveal.com/rates/99358-cpt-fee-schedule
- 99359: Prolng E/m Before&/after Dir Care Ea 30 Minutes — https://www.med-reveal.com/rates/99359-cpt-fee-schedule

Commercial negotiated rates for 99460 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