Price Checker / CPT 93279
How much does Prgrmg Dev Evaluation Pm/ldls Pm cost?
CPT 93279 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 3.3x the fair price. This is well above fair — push back or dispute it.
Fair price
$170–$200
What this should cost
With insurance
~$178,400
Typical out-of-pocket
Overcharged if over
$250
Push back above this
The average hospital charge of $623 is $433 over the fair price (about 3.3x the fair rate).
What hospitals charge for Prgrmg Dev Evaluation Pm/ldls Pm
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stone County Medical Center MOUNTAIN VIEW, AR | $97 | — | 14870% |
| Spaulding Rehabilitation Hospital Continuing Medical Care Cambridge , MA | $1,148 | $861 | 1619% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Prgrmg Dev Evaluation Pm/ldls Pm
CPT code 93279 refers to prgrmg dev evaluation pm/ldls pm (billing description: "Prgrmg dev eval pm/ldls pm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $67 in a facility (hospital or surgery center) and $67 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.