Benchmarks › Critical Care Services
Critical Care Services: Federal IDR benchmarks
In 2025-Q4 the median prevailing offer for Critical Care Services (CPT 99291 - 99292) was 347% of the QPA, across 11,730 payment determinations covering 17,304 items or services.
| Quarter | Median prevailing offer, % of QPA | Determinations | Items or services |
|---|---|---|---|
| 2025-Q1 | 340% | 10,024 | 13,573 |
| 2025-Q2 | 338% | 13,830 | 19,262 |
| 2025-Q3 | 321% | 12,784 | 18,386 |
| 2025-Q4 | 347% | 11,730 | 17,304 |
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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