CPT 99462

Subq Hospital Care Per Day E/M Normal Newborn

CPT 99462 pays $35.40 in a non-facility setting and $35.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.79 in Arkansas to $49.05 in Alaska, a 45% spread.

National non-facility rate

$35.40

Office and other outpatient settings

Facility rate
$35.40

Hospital and ASC settings

Highest state
$49.05

Alaska

Lowest state
$33.79

Arkansas · 45% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $35.40
CPT 99462 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $35.40, national facility $35.40.
StateRate compared visuallyNon-facilityFacility
Alaska
$49.05$49.05
District of Columbia
$38.12$38.12
New York
$37.99$37.99
New Jersey
$37.70$37.70
Florida
$37.00$37.00
Illinois
$36.83$36.83
Connecticut
$36.75$36.75
Washington
$36.73$36.73
California
$36.69$36.69
Massachusetts
$36.64$36.64
Maryland
$36.14$36.14
Rhode Island
$35.95$35.95
Colorado
$35.74$35.74
Michigan
$35.74$35.74
Pennsylvania
$35.66$35.66
Georgia
$35.51$35.51
Hawaii
$35.48$35.48
Oregon
$35.47$35.47
Puerto Rico
$35.44$35.44
Virgin Islands
$35.44$35.44
New Hampshire
$35.43$35.43
Montana
$35.40$35.40
West Virginia
$35.38$35.38
Texas
$35.35$35.35
Delaware
$35.31$35.31
New Mexico
$35.27$35.27
Nevada
$35.13$35.13
Arizona
$34.99$34.99
Louisiana
$34.99$34.99
Wyoming
$34.97$34.97
Ohio
$34.92$34.92
Missouri
$34.91$34.91
Utah
$34.89$34.89
Virginia
$34.82$34.82
South Carolina
$34.72$34.72
Kentucky
$34.63$34.63
Maine
$34.53$34.53
Vermont
$34.52$34.52
North Carolina
$34.42$34.42
Oklahoma
$34.42$34.42
North Dakota
$34.41$34.41
Minnesota
$34.39$34.39
South Dakota
$34.30$34.30
Mississippi
$34.18$34.18
Indiana
$34.13$34.13
Tennessee
$34.12$34.12
Idaho
$34.07$34.07
Kansas
$34.03$34.03
Wisconsin
$34.01$34.01
Alabama
$33.97$33.97
Nebraska
$33.93$33.93
Iowa
$33.92$33.92
Arkansas
$33.79$33.79

Billed by 2 specialties

Commercial rates for 99462

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates