Last updated: March 2026CMS official rates · Free to use
Medicare Fee Schedule Lookup
Find 2026 Medicare reimbursement rates and national payment amounts for any CPT, HCPCS, or MS-DRG code. Physician Fee Schedule, Drug ASP, MS-DRG weights, Anesthesia, and Clinical Lab — sourced directly from CMS.
Coverage at a glance
Filters
94004
20252026
Select one or more years
Up to 5 codes · 4 remaining
Need commercial rates?
Compare Medicare against in-network rates from 180+ payers.
Run a free sample reportShowing
Physician Fee Schedule·94004·National·2025, 2026
Current non-facility rate
$43.76▲0.0%
Facility: $43.76
Recent trend
Code description
Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Nursing Facility, Per Day
| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 94004 | 4/2026 | N/A | 00 | 00000 | $43.76 | $43.76 | Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Nursing Facility, Per Day |
| 94004 | 1/2026 | N/A | 00 | 00000 | $43.76 | $43.76 | Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Nursing Facility, Per Day |
| 94004 | 10/2025 | N/A | 00 | 00000 | $45.29 | $45.29 | Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Nursing Facility, Per Day |
| 94004 | 7/2025 | N/A | 00 | 00000 | $45.29 | $45.29 | Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Nursing Facility, Per Day |
| 94004 | 4/2025 | N/A | 00 | 00000 | $45.29 | $45.29 | Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Nursing Facility, Per Day |
| 94004 | 1/2025 | N/A | 00 | 00000 | $45.29 | $45.29 | Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Nursing Facility, Per Day |
PayerPrice Platform
Medicare is just the floor. See what UHC, Aetna, BCBS, and Cigna actually pay for the same code.
Negotiated rates from 180+ commercial payers · NPI/TIN-level detail · ZIP-level geography · Historical trends · API, SQL, MCP & bulk export.
Related codes
94002Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Hospital Inpatient/Observation, Initial Day
$85.8494003Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Ventilators For Assisted Or Controlled Breathing; Hospital Inpatient/Observation, Each Subsequent Day
$59.1294010Spirometry, Including Graphic Record, Total And Timed Vital Capacity, Expiratory Flow Rate Measurement(S), With Or Without Maximal Voluntary Ventilation
$8.35Methodology
Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.
View CMS Physician Fee Schedule