CPT 93279 Cardiovascular
Prgrmg dev eval pm/ldls pm Cost
Body System: Cardiovascular
Medicare Facility Rate
$67
CMS PFS CY2026
Medicare Non-Facility Rate
$67
Office/clinic setting
Hospital Outpatient
$38
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.63
Work RVU
1.34
Facility PE RVU
0.03
Malpractice RVU
2.00
Total RVU
Frequently Asked Questions
How much does Prgrmg dev eval pm/ldls pm cost?
The Medicare facility rate is $67. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $38.
How much does Prgrmg dev eval pm/ldls pm 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 $67.