Price Checker / CPT 99349
How much does Home/res Vst Est Mod Mdm 40 cost?
CPT 99349 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$200–$210
What this should cost
With insurance
~$350
Typical out-of-pocket
Overcharged if over
$260
Push back above this
What hospitals charge for Home/res Vst Est Mod Mdm 40
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 | $269 | $215 | 103% |
| Porter-Starke Services Inpatient Care Center Valparaiso, IN | $141 | — | 27% |
| Barnes-Kasson County Hospital SUSQUEHANNA, PA | $165 | $116 | 25% |
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 Home/res Vst Est Mod Mdm 40
CPT code 99349 refers to home/res vst est mod mdm 40 (billing description: "Home/res vst est mod mdm 40"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $132 in a facility (hospital or surgery center) and $132 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.