CPT 99415 Evaluation & Management

Prolng clin staff svc 1st hr Cost

Body System: General

Medicare Facility Rate

$23

CMS PFS CY2026

Medicare Non-Facility Rate

$23

Office/clinic setting

Frequently Asked Questions

How much does Prolng clin staff svc 1st hr cost?

The Medicare facility rate is $23. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Prolng clin staff svc 1st hr 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 $23.