CPT 99202 Evaluation & Management
Office o/p new sf 15 min Cost
Body System: General
Medicare Facility Rate
$41
CMS PFS CY2026
Medicare Non-Facility Rate
$75
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.93
Work RVU
0.23
Facility PE RVU
0.07
Malpractice RVU
2.25
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $56 | $121 — $186 |
| AL — ALABAMA | $39 | $90 — $139 |
| AR — ARKANSAS | $39 | $89 — $137 |
| AZ — ARIZONA | $41 | $96 — $148 |
| CA — BAKERSFIELD | $42 | $103 — $158 |
| CA — CHICO | $41 | $103 — $158 |
| CA — EL CENTRO | $41 | $103 — $158 |
| CA — FRESNO | $41 | $103 — $158 |
| CA — HANFORD-CORCORAN | $41 | $103 — $158 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $43 | $109 — $167 |
| CA — MADERA | $41 | $103 — $158 |
| CA — MERCED | $41 | $103 — $158 |
| CA — MODESTO | $41 | $103 — $158 |
| CA — NAPA | $45 | $117 — $179 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $43 | $108 — $166 |
| CA — REDDING | $41 | $103 — $158 |
| CA — REST OF CALIFORNIA | $41 | $103 — $158 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $42 | $104 — $160 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $43 | $107 — $165 |
| CA — SALINAS | $42 | $107 — $164 |
Frequently Asked Questions
How much does Office o/p new sf 15 min cost?
The Medicare facility rate is $41. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Office o/p new sf 15 min 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 $41.