CPT 94660 Pulmonary
Cpap initiation&mgmt Cost
Body System: Respiratory
Medicare Facility Rate
$32
CMS PFS CY2026
Medicare Non-Facility Rate
$69
Office/clinic setting
Hospital Outpatient
$224
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.74
Work RVU
0.17
Facility PE RVU
0.06
Malpractice RVU
2.07
Total RVU
Frequently Asked Questions
How much does Cpap initiation&mgmt cost?
The Medicare facility rate is $32. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $224.
How much does Cpap initiation&mgmt 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 $32.