CPT 92998 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Cardiovascular Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 92998 |
National average reimbursement for CPT 92998 by major payers:
$413.10
$433.71
$439.11
$511.93
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 92998 | ||||||
United | 92998 | $16196.00 | 1841590965 - PHYSICIANS REGIONAL MEDICAL CENTER | 204401957 | FL | Radiology Clinic/Center (261QR0200X) |
United | 92998 | $8406.00 | 1477527497 - MILFORD REGIONAL MEDICAL CENTER INC | 42103602 - (MA) MILFORD REGIONAL MEDICAL CENTER INC | MA | General Acute Care Hospital (282N00000X) |
United | 92998 | $5928.00 | 1205904885 - JEFFERSON HEALTH, ARIA HEALTH BUCKS COUNTY CAMPUS | 230596940 - (PA) JEFFERSON HEALTH-NORTHEAST | PA | General Acute Care Hospital (282N00000X) |
United | 92998 | $5512.00 | 1720039712 - QHG OF ENTERPRISE INC, MEDICAL CENTER ENTERPRISE | 631159023 - (AL) QHG OF ENTERPRISE INC | AL | General Acute Care Hospital (282N00000X) |
United | 92998 | $6482.00 | 1730697350 - JACKSONVILLE HOSPITAL LLC, UTHEALTH EAST TEXAS JACKSONVILLE HOSPITAL | 824037220 | TX | General Acute Care Hospital (282N00000X) |
United | 92998 | $25111.00 | 1164539730 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE LUTHERAN GENERAL HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 92998 | $5247.00 | 1033112230 - ST JUDE CHILDRENS RESEARCH HOSPITAL INC | 620646012 - ST JUDE CHILDRENS RESEARCH HOSPITAL INC | TN | Children's Hospital (282NC2000X) |
United | 92998 | $8143.00 | 1124052162 - CITIZENS MEDICAL CENTER COUNTY OF VICTORIA, COUNTY OF VICTORIA CITIZENS MEDICAL CENTER | 741698143 | TX | General Acute Care Hospital (282N00000X) |
United | 92998 | $12309.00 | 1992910152 - BRIDGEPORT HOSPITAL | 60646554 - (CT) BRIDGEPORT HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 92998 | $858.00 | 1518992221 - ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT, ACADIA-ST. LANDRY HOSPITAL | 720643190 | LA | Critical Access Hospital (282NC0060X) |
United | 92998 | $28611.00 | 1629038336 - SENTARA HOSPITALS, SENTARA VIRGINIA BEACH GENERAL HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 92998 | $24903.00 | 1912937624 - HILTON HEAD HEALTH SYSTEM, L.P., HILTON HEAD HOSPITAL | 934604680 | SC | General Acute Care Hospital (282N00000X) |
United | 92998 | $18756.00 | 1508899204 - TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | 751748586 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | TX | General Acute Care Hospital (282N00000X) |
United | 92998 | $5680.00 | 1356574560 - SUMMIT MEDICAL CENTER, SUMMIT MEDICAL CENTER, LLC | 270826862 - (OK) SUMMIT MEDICAL CENTER, LLC | OK | General Acute Care Hospital (282N00000X) |
United | 92998 | $11749.00 | 1063494177 - ST LUKES HOSPITAL OF KANSAS CITY, SAINT LUKE'S HOSPITAL OF KANSAS CITY | 440545297 - ST LUKES HOSPITAL OF KANSAS CITY | MO | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 92998 vs. Other Cardiovascular Procedures Codes
The CPT 92998 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92998 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92997-CPT | Moderate | Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Single |
| 92998-CPT | Moderate | Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Each Additional Vessel (List Separately In Addition To Code For Primary Procedure) |
| 93005-CPT | Low | Electrocardiogram, Routine Ecg With At Least 12 Leads; Tracing Only, Without Interpretation And Report |
| 93010-CPT | Low | Ecg;Interpretation & Report Only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92998. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92998 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 92998) and we'll show you how you compare in 15 minutes or less.