How Much Does Subsequent Psyc Collab Care Management Cost?
Also known as: Sbsq psyc collab care mgmt (CPT 99493)
Subsequent monthly psychiatric collaborative care management, continuing the team approach to your mental health treatment.
Subsequent Psyc Collab Care Management (CPT 99493) costs $90 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 Psyc Collab Care Management
What you need to know before your appointment
What to Expect
Your care manager continues checking in on your mental health, monitoring symptoms, and the consulting psychiatrist continues advising on your treatment plan.
How Long Does It Take?
60+ minutes of combined team time per month
Common Reasons Doctors Order This
Ongoing management of depression, anxiety, or other mental health conditions through collaborative care model
How to Prepare
Continue tracking your symptoms. Report any medication side effects or changes in how you are feeling.
Procedures Commonly Done Together
These procedures are frequently performed alongside Sbsq psyc collab care mgmt
How to Reduce Your Cost for Sbsq 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 ($145) differs from the facility rate ($90). 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 (4.34) x CF ($33.40) = $145
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Sbsq psyc collab care mgmt cost?
The Medicare facility rate for Sbsq psyc collab care mgmt is $90. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Sbsq psyc collab care mgmt cost without insurance?
Without insurance, the cost of Sbsq 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 Sbsq psyc collab care mgmt?
Most commercial health insurance plans and Medicare cover Sbsq 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.