Price Checker / CPT 99310
How much does Sbsq Nf Care High Mdm 45 cost?
CPT 99310 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 42x the fair price — among the most extreme markups. Dispute this.
Fair price
$210
What this should cost
With insurance
~$490
Typical out-of-pocket
Overcharged if over
$260
Push back above this
The average hospital charge of $8,871 is $8,661 over the fair price (about 42x the fair rate).
What hospitals charge for Sbsq Nf Care High Mdm 45
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Baylor Scott & White Texas Spine and Joint Hospital Tyler, TX | — | — | 5331% |
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 Sbsq Nf Care High Mdm 45
CPT code 99310 refers to sbsq nf care high mdm 45 (billing description: "Sbsq nf care high mdm 45"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $140 in a facility (hospital or surgery center) and $163 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.