Cost analysis for CPT 99232 — Subsequent hospital inpatient care, typically 25 minutes per day
Average Medicare Payment
$60.56
2023 data
Total Payments (2023)
$2.1B
Services (2023)
34.8M
Price Change (2014–2023)
+8.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $55.79 | $2.7B | 48.4M | — |
| 2015 | $56.06 | $2.7B | 48.5M | +0.5% |
| 2016 | $55.43 | $2.7B | 48.0M | -1.1% |
| 2017 | $55.70 | $2.6B | 46.7M | +0.5% |
| 2018 | $56.37 | $2.6B | 45.2M | +1.2% |
| 2019 | $56.84 | $2.5B | 43.9M | +0.8% |
| 2020 | $57.41 | $2.3B | 38.9M | +1.0% |
| 2021 | $56.32 | $2.1B | 36.4M | -1.9% |
| 2022 | $54.93 | $1.9B | 34.3M | -2.5% |
| 2023 | $60.56 | $2.1B | 34.8M | +10.2% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $80.07 vs MS at $56.91.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $80.07 | $3.9M | 49.3K | 283 |
| NY | $68.37 | $162.9M | 2.4M | 11.8K |
| DC | $66.65 | $6.4M | 96.3K | 644 |
| NJ | $65.58 | $114.6M | 1.7M | 6.2K |
| AE | $65.53 | $18.6K | 284 | 2 |
| CA | $65.26 | $199.9M | 3.1M | 12.3K |
| FM | $63.74 | $25.8K | 404 | 1 |
| MD | $63.62 | $37.2M | 585.1K | 3.4K |
| CT | $63.30 | $21.3M | 336.2K | 2.5K |
| IL | $63.13 | $98.9M | 1.6M | 8.0K |
| MA | $62.94 | $50.0M | 793.9K | 5.4K |
| XX | $62.60 | $6.9K | 111 | 1 |
| AP | $62.60 | $51.3K | 819 | 4 |
| FL | $62.33 | $228.7M | 3.7M | 13.1K |
| RI | $62.02 | $5.0M | 80.8K | 653 |
| MI | $62.00 | $80.6M | 1.3M | 6.7K |
| WA | $61.67 | $23.3M | 377.8K | 3.1K |
| HI | $61.61 | $3.4M | 54.5K | 392 |
| VA | $61.25 | $49.0M | 799.7K | 4.5K |
| CO | $61.02 | $15.1M | 248.2K | 2.3K |
| DE | $61.02 | $10.3M | 169.1K | 728 |
| PA | $60.82 | $103.8M | 1.7M | 10.9K |
| MT | $60.38 | $4.5M | 73.7K | 557 |
| GU | $60.35 | $364.0K | 6.0K | 30 |
| NH | $60.29 | $9.7M | 161.2K | 992 |
| OR | $60.12 | $10.2M | 169.1K | 1.7K |
| TX | $60.10 | $185.8M | 3.1M | 11.8K |
| PR | $59.99 | $1.7M | 28.6K | 218 |
| AZ | $59.96 | $32.8M | 547.7K | 3.2K |
| NV | $59.81 | $31.6M | 528.0K | 1.3K |
| GA | $59.75 | $54.6M | 913.3K | 5.0K |
| WY | $59.71 | $2.1M | 35.0K | 191 |
| ME | $59.64 | $6.3M | 105.9K | 885 |
| ND | $59.58 | $5.7M | 94.8K | 564 |
| MO | $59.54 | $46.5M | 780.4K | 4.3K |
| WV | $59.34 | $15.9M | 267.7K | 1.3K |
| LA | $59.18 | $34.4M | 580.7K | 2.6K |
| AA | $59.17 | $8.1K | 137 | 2 |
| MP | $58.96 | $26.5K | 449 | 4 |
| SD | $58.78 | $5.2M | 88.3K | 565 |
| UT | $58.66 | $5.4M | 91.3K | 876 |
| NM | $58.66 | $6.1M | 103.2K | 832 |
| NC | $58.65 | $46.2M | 787.8K | 5.7K |
| OH | $58.61 | $70.0M | 1.2M | 8.1K |
| VI | $58.61 | $140.4K | 2.4K | 11 |
| SC | $58.59 | $33.3M | 568.3K | 2.8K |
| OK | $58.50 | $24.8M | 424.6K | 1.8K |
| ZZ | $58.48 | $72.5K | 1.2K | 11 |
| KY | $58.47 | $33.0M | 565.2K | 2.9K |
| VT | $58.46 | $2.2M | 38.3K | 315 |
| AL | $58.44 | $33.7M | 575.9K | 2.5K |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Jack Husney | Internal Medicine | NY | $718.2K | 9.9K | $72.22 |
| Jacob Ahdoot | Nephrology | CA | $715.3K | 10.0K | $71.65 |
| Harry Marshak | Plastic and Reconstructive Surgery | CA | $681.5K | 10.3K | $66.44 |
| Keivan Golchini | Gastroenterology | CA | $672.6K | 9.9K | $67.83 |
| Suhattai Gamnerdsiri | Cardiology | NV | $639.4K | 10.2K | $62.41 |
| Satya Chelamkuri | Family Practice | CA | $637.0K | 8.8K | $72.71 |
| Arti Patel | Internal Medicine | TX | $606.8K | 9.8K | $61.97 |
| Egbert Joseph Liquete | Nephrology | MI | $597.7K | 9.4K | $63.43 |
| Aleksander Shalshin | Pulmonary Disease | NY | $582.9K | 8.1K | $72.21 |
| Robert Morton | Psychiatry | OK | $581.6K | 9.8K | $59.59 |
| Yakoub Katri | Nephrology | NY | $579.9K | 8.0K | $72.16 |
| Michael Scoma | Infectious Disease | NY | $579.7K | 8.0K | $72.18 |
| Keshwar Ramkissoon | Internal Medicine | NY | $578.8K | 8.0K | $72.25 |
| Jimmy Huang | Family Practice | CA | $576.6K | 8.7K | $66.41 |
| Munawar Qurashi | Physical Medicine and Rehabilitation | NV | $558.0K | 9.0K | $62.07 |
| Sung-Joon Cho | Physical Medicine and Rehabilitation | TX | $553.8K | 9.1K | $61.02 |
| Samir Farhat | Internal Medicine | NY | $547.9K | 7.6K | $72.43 |
| Stephen Veluz | Internal Medicine | MO | $547.1K | 8.9K | $61.38 |
| Hazem Al-Andary | Internal Medicine | FL | $540.5K | 8.7K | $62.23 |
| Emmanuel Akinyemi | Infectious Disease | TX | $512.7K | 8.4K | $61.26 |
Based on the data, CPT 99232 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 8.5% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.