Price Checker / CPT 99305
How much does 1st Nf Care Moderate Mdm 35 cost?
CPT 99305 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$200
What this should cost
With insurance
~$460
Typical out-of-pocket
Overcharged if over
$250
Push back above this
The average hospital charge of $241 is $41 over the fair price.
What hospitals charge for 1st Nf Care Moderate Mdm 35
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $241 | $193 | 71% |
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 1st Nf Care Moderate Mdm 35
CPT code 99305 refers to 1st nf care moderate mdm 35 (billing description: "1st nf care moderate mdm 35"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $120 in a facility (hospital or surgery center) and $141 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.