CPT 99316 Evaluation & Management
Nf dschrg mgmt 30 min+ Cost
Body System: General
Medicare Facility Rate
$118
CMS PFS CY2026
Medicare Non-Facility Rate
$138
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.50
Work RVU
0.85
Facility PE RVU
0.17
Malpractice RVU
4.14
Total RVU
Frequently Asked Questions
How much does Nf dschrg mgmt 30 min+ cost?
The Medicare facility rate is $118. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Nf dschrg mgmt 30 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 $118.