How Much Does Initial Psyc Collab Care Management Cost?
Also known as: 1st psyc collab care mgmt (CPT 99492)
Initial month of psychiatric collaborative care management, where your primary care doctor works with a psychiatrist and care manager to treat your mental health condition.
Initial Psyc Collab Care Management (CPT 99492) costs $82 at Medicare rates.
The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.
Patient Guide: Initial Psyc Collab Care Management
What you need to know before your appointment
What to Expect
A behavioral health care manager will work with you regularly, while a consulting psychiatrist advises your primary care doctor on your treatment. This team approach helps manage depression, anxiety, or other mental health conditions.
How Long Does It Take?
70+ minutes of combined team time in the first month
Common Reasons Doctors Order This
Depression, anxiety, or other mental health conditions being managed through your primary care doctor with psychiatric consultation
How to Prepare
Complete any mood questionnaires you receive. Be open about your symptoms and how treatment is working.
Procedures Commonly Done Together
These procedures are frequently performed alongside 1st psyc collab care mgmt
How to Reduce Your Cost for 1st psyc collab care mgmt
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($160) differs from the facility rate ($82). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (4.80) x CF ($33.40) = $160
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does 1st psyc collab care mgmt cost?
The Medicare facility rate for 1st psyc collab care mgmt is $82. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does 1st psyc collab care mgmt cost without insurance?
Without insurance, the cost of 1st psyc collab care mgmt can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover 1st psyc collab care mgmt?
Most commercial health insurance plans and Medicare cover 1st psyc collab care mgmt when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.