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CPT 99487 · Medicine/E&M · Evaluation & Management

Cplx chrnc care 1st 60 min

Complex chronic care management for ongoing health conditions costs between $79.55-$160.67 depending on your facility type, so review your billing statements immediately to verify proper charges.

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Cplx chrnc care 1st 60 min
Medicare facility$80Non-facility$99Hospital outpatient$161$81 difference between lowest and highest rate
$80
Medicare facility rate
$99
Non-facility rate

Complex chronic care management involves extended coordination of care services for patients with multiple serious long-term conditions, requiring at least 60 minutes of clinical staff time per month. This service typically applies to patients managing conditions like diabetes, heart disease, and COPD who need ongoing medication management and care coordination between multiple providers. Medicare reimburses this code at approximately $180, though facility charges can vary significantly across different healthcare settings.

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Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$161
Hospital Outpatient rate for Cplx chrnc care 1st 60 min
Medicare facility benchmark: $80
Regional rate comparison — Cplx chrnc care 1st 60 min
Top 5 lowest and highest localities by Medicare facility rate
National avg $80REST OF ILLINOIS, IL$92DETROIT, MI$97QUEENS, NY$98MIAMI, FL$121CHICAGO, IL$114NYC SUBURBS/LONG ISLAND, NY$109

Facility rate

$80

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

3

23 data points

Key insights for CPT 99487

Facility vs office setting

$19 difference

Facility setting is less expensive for this procedure

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Facility (physician office)$80Lowest
Non-facility (office)$99+24%
Outpatient (APC)$161+102%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Related procedures

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Federal physician fee schedules, hospital payment data, surgery center rates, lab fee schedules, and drug pricing data. FY 2024. All publicly available from federal sources.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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