CPT 99437 Evaluation & Management

Chrnc care mgmt phys ea addl Cost

Body System: General

Medicare Facility Rate

$44

CMS PFS CY2026

Medicare Non-Facility Rate

$63

Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

1.00

Work RVU

0.24

Facility PE RVU

0.07

Malpractice RVU

1.89

Total RVU

Frequently Asked Questions

How much does Chrnc care mgmt phys ea addl cost?

The Medicare facility rate is $44. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Chrnc care mgmt phys ea addl 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 $44.