Benchmarks › Hospital Inpatient and Observation Care Services
Hospital Inpatient and Observation Care Services: Federal IDR benchmarks
In 2025-Q4 the median prevailing offer for Hospital Inpatient and Observation Care Services (CPT 99217 - 99239) was 370% of the QPA, across 14,340 payment determinations covering 30,321 items or services.
| Quarter | Median prevailing offer, % of QPA | Determinations | Items or services |
|---|---|---|---|
| 2025-Q1 | 380% | 8,091 | 19,242 |
| 2025-Q2 | 357% | 10,073 | 26,549 |
| 2025-Q3 | 358% | 12,395 | 28,059 |
| 2025-Q4 | 370% | 14,340 | 30,321 |
Source: CMS Federal IDR Supplemental Tables, reporting year 2025 (CMS reports page). Quarterly medians cannot be combined into a yearly median, so each quarter is shown separately.
What this does and does not tell you
A median describes the middle of past outcomes for the whole specialty. It is not a prediction for a specific claim: the QPA band, the plan, the state, the evidence you submit and the entity all matter. Lower-QPA items tend to see higher multiples; see QPA bands.
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