CPT 99235 Evaluation & Management
Hosp ip/obs same date mod 70 Cost
Body System: General
Medicare Facility Rate
$143
CMS PFS CY2026
Medicare Non-Facility Rate
$143
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.24
Work RVU
0.79
Facility PE RVU
0.25
Malpractice RVU
4.28
Total RVU
Frequently Asked Questions
How much does Hosp ip/obs same date mod 70 cost?
The Medicare facility rate is $143. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Hosp ip/obs same date mod 70 cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $143.