How Much Does Subsequent Nf Care Moderate Mdm 30 Cost?
Also known as: Sbsq nf care moderate mdm 30 (CPT 99309)
A follow-up visit at your nursing facility with a moderate-complexity evaluation.
Subsequent Nf Care Moderate Mdm 30 (CPT 99309) costs $99 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 Moderate Mdm 30
What you need to know before your appointment
What to Expect
Your doctor will perform a focused exam, review test results, and make care plan changes for a condition that needs closer attention.
How Long Does It Take?
30 minutes
Common Reasons Doctors Order This
Worsening symptoms, new health concerns, managing multiple conditions
How to Prepare
Have nursing staff prepare recent vital signs and lab results for the visit.
Procedures Commonly Done Together
These procedures are frequently performed alongside Sbsq nf care moderate mdm 30
How to Reduce Your Cost for Sbsq nf care moderate mdm 30
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 ($115) differs from the facility rate ($99). 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 (3.43) x CF ($33.40) = $115
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Sbsq nf care moderate mdm 30 cost?
The Medicare facility rate for Sbsq nf care moderate mdm 30 is $99. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Sbsq nf care moderate mdm 30 cost without insurance?
Without insurance, the cost of Sbsq nf care moderate mdm 30 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 moderate mdm 30?
Most commercial health insurance plans and Medicare cover Sbsq nf care moderate mdm 30 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.