Price Checker / CPT 99306
CPT 99306 — 1st nf care high mdm 50
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$163
What Medicare pays in a hospital/ASC setting
$193
What Medicare pays in a physician's office
$364
Based on 4 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 99306
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| hebrew rehabilitation center hospital , MA | $450 | $450 | 133% |
| Lindner Center of Hope , OH | $350 | $207 | 81% |
| Lindner Center of Hope , OH | $350 | — | 76% |
| Pine Rest Christian Mental Health Services , MI | $306 | $245 | 58% |
Were you billed for this procedure?
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About CPT 99306
CPT code 99306 refers to “1st nf care high mdm 50”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $163 in a facility (hospital or ambulatory surgery center) and $193in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.