CPT 59025 Surgery - Maternity

How Much Does Fetal Non-Stress Test Cost?

Also known as: Fetal non-stress test (CPT 59025)

A test that monitors the babys heart rate to check on the babys well-being in the later stages of pregnancy.

Fetal Non-Stress Test (CPT 59025) costs $50 at Medicare rates. Hospital outpatient rate: $207.

Cost Comparison by Payer

How much Fetal non-stress test costs across different settings and payers

Medicare
Facility rate
$50
Hospital Outpatient
OPPS rate
$207
Surgery Center
ASC rate
$21
Medicare (Facility)
$50
CMS PFS 2026 national rate
Hospital Outpatient
$207
OPPS rate
Surgery Center (ASC)
$21
Ambulatory surgery center

Patient Guide: Fetal Non-Stress Test

What you need to know before your appointment

What to Expect

Two belts with sensors are placed on your belly. One monitors the babys heartbeat and the other tracks contractions. You press a button when you feel the baby move.

How Long Does It Take?

20-40 minutes

Common Reasons Doctors Order This

High-risk pregnancy monitoring, overdue pregnancy, decreased fetal movement, gestational diabetes, high blood pressure

How to Prepare

Eat something before the test to encourage baby movement. Do not skip the appointment. Arrive with a moderately full bladder.

Procedures Commonly Done Together

These procedures are frequently performed alongside Fetal non-stress test

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How to Reduce Your Cost for Fetal non-stress test

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $21, compared to $207 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.52
Work RVU
0.85
Practice Expense RVU
0.14
Malpractice RVU
1.51
Total RVU

Payment = Total RVU (1.51) x CF ($33.40) = $50

Frequently Asked Questions

How much does Fetal non-stress test cost?

The Medicare facility rate for Fetal non-stress test is $50. In a hospital outpatient setting, the rate is $207. At an ambulatory surgery center, the rate is $21. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Fetal non-stress test cost without insurance?

Without insurance, the cost of Fetal non-stress test can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Fetal non-stress test?

Most commercial health insurance plans and Medicare cover Fetal non-stress test when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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