CPT 98971 Other
Nqhp ol dig assmt&mgmt 11-20 Cost
Body System: General
Medicare Facility Rate
$19
CMS PFS CY2026
Medicare Non-Facility Rate
$23
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.44
Work RVU
0.11
Facility PE RVU
0.02
Malpractice RVU
0.69
Total RVU
Frequently Asked Questions
How much does Nqhp ol dig assmt&mgmt 11-20 cost?
The Medicare facility rate is $19. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Nqhp ol dig assmt&mgmt 11-20 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 $19.