CPT 90865 Psychiatry
Narcosynthesis Cost
Body System: Nervous
Medicare Facility Rate
$115
CMS PFS CY2026
Medicare Non-Facility Rate
$171
Office/clinic setting
Hospital Outpatient
$181
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.84
Work RVU
0.46
Facility PE RVU
0.13
Malpractice RVU
5.11
Total RVU
Frequently Asked Questions
How much does Narcosynthesis cost?
The Medicare facility rate is $115. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $181.
How much does Narcosynthesis 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 $115.