HCPCS G0538 HCPCS - Temporary Procedures
Ascvd rsk mng clin stf pr mo Cost
Body System: General
Medicare Facility Rate
$8
CMS PFS CY2026
Medicare Non-Facility Rate
$17
Office/clinic setting
Hospital Outpatient
$104
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.18
Work RVU
0.05
Facility PE RVU
0.01
Malpractice RVU
0.51
Total RVU
Frequently Asked Questions
How much does Ascvd rsk mng clin stf pr mo cost?
The Medicare facility rate is $8. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $104.
How much does Ascvd rsk mng clin stf pr mo 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 $8.