CPT 99212 Evaluation & Management
Office o/p est sf 10 min Cost
Body System: General
Medicare Facility Rate
$31
CMS PFS CY2026
Medicare Non-Facility Rate
$59
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.70
Work RVU
0.17
Facility PE RVU
0.06
Malpractice RVU
1.78
Total RVU
Frequently Asked Questions
How much does Office o/p est sf 10 min cost?
The Medicare facility rate is $31. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Office o/p est sf 10 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 $31.