How Much Does Subsequent Nf Care Low Mdm 20 Cost?
Also known as: Sbsq nf care low mdm 20 (CPT 99308)
A follow-up visit at your nursing facility with a low-complexity evaluation.
Subsequent Nf Care Low Mdm 20 (CPT 99308) costs $68 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: Subsequent Nf Care Low Mdm 20
What you need to know before your appointment
What to Expect
Your doctor will examine you, review recent changes, and may adjust medications or your care plan.
How Long Does It Take?
20 minutes
Common Reasons Doctors Order This
Follow-up for minor changes in condition, medication adjustments, progress check after illness
How to Prepare
Keep a note of any symptoms or concerns since the last visit.
Procedures Commonly Done Together
These procedures are frequently performed alongside Sbsq nf care low mdm 20
How to Reduce Your Cost for Sbsq nf care low mdm 20
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 ($79) differs from the facility rate ($68). 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 (2.36) x CF ($33.40) = $79
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Sbsq nf care low mdm 20 cost?
The Medicare facility rate for Sbsq nf care low mdm 20 is $68. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Sbsq nf care low mdm 20 cost without insurance?
Without insurance, the cost of Sbsq nf care low mdm 20 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 Sbsq nf care low mdm 20?
Most commercial health insurance plans and Medicare cover Sbsq nf care low mdm 20 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.