CPT 99483 Evaluation & Management
Assmt & care pln pt cog imp Cost
Body System: General
Medicare Facility Rate
$170
CMS PFS CY2026
Medicare Non-Facility Rate
$293
Office/clinic setting
Hospital Outpatient
$104
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.84
Work RVU
0.97
Facility PE RVU
0.27
Malpractice RVU
8.77
Total RVU
Frequently Asked Questions
How much does Assmt & care pln pt cog imp cost?
The Medicare facility rate is $170. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $104.
How much does Assmt & care pln pt cog imp 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 $170.