# CPT 94003: Ventilation assist management, hospital inpatient, each subsequent day

Medicare CPT 94003 pays $59.12 in a non-facility setting and $59.12 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $55.86 in Arkansas to $80.81 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/94003-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: General Acute Care Hospital

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $59.12 |
| National facility | $59.12 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $80.81 | $80.81 |
| New York | $63.81 | $63.81 |
| District of Columbia | $63.71 | $63.71 |
| New Jersey | $62.99 | $62.99 |
| Florida | $62.94 | $62.94 |
| Illinois | $62.62 | $62.62 |
| Connecticut | $61.60 | $61.60 |
| Washington | $61.03 | $61.03 |
| Massachusetts | $60.95 | $60.95 |
| California | $60.64 | $60.64 |
| Maryland | $60.42 | $60.42 |
| Michigan | $60.18 | $60.18 |
| Rhode Island | $59.86 | $59.86 |
| Pennsylvania | $59.62 | $59.62 |
| West Virginia | $59.62 | $59.62 |
| Georgia | $59.55 | $59.55 |
| Colorado | $59.39 | $59.39 |
| Puerto Rico | $59.16 | $59.16 |
| Virgin Islands | $59.16 | $59.16 |
| New Mexico | $59.15 | $59.15 |
| Montana | $59.11 | $59.11 |
| New Hampshire | $59.00 | $59.00 |
| Texas | $58.94 | $58.94 |
| Oregon | $58.88 | $58.88 |
| Delaware | $58.83 | $58.83 |
| Hawaii | $58.71 | $58.71 |
| Louisiana | $58.50 | $58.50 |
| Nevada | $58.46 | $58.46 |
| Ohio | $58.34 | $58.34 |
| Missouri | $58.29 | $58.29 |
| Arizona | $58.25 | $58.25 |
| Utah | $58.15 | $58.15 |
| Wyoming | $58.08 | $58.08 |
| South Carolina | $57.81 | $57.81 |
| Virginia | $57.78 | $57.78 |
| Kentucky | $57.74 | $57.74 |
| Oklahoma | $57.23 | $57.23 |
| Maine | $57.21 | $57.21 |
| North Carolina | $57.05 | $57.05 |
| Vermont | $57.05 | $57.05 |
| Mississippi | $56.77 | $56.77 |
| North Dakota | $56.74 | $56.74 |
| Minnesota | $56.57 | $56.57 |
| South Dakota | $56.46 | $56.46 |
| Tennessee | $56.41 | $56.41 |
| Indiana | $56.38 | $56.38 |
| Idaho | $56.26 | $56.26 |
| Kansas | $56.23 | $56.23 |
| Alabama | $56.21 | $56.21 |
| Wisconsin | $55.95 | $55.95 |
| Iowa | $55.91 | $55.91 |
| Nebraska | $55.91 | $55.91 |
| Arkansas | $55.86 | $55.86 |

## Related codes

- 94002: Ventilation assist management, hospital inpatient, initial day — https://www.med-reveal.com/rates/94002-cpt-fee-schedule
- 94010: Spirometry, including graphic record — https://www.med-reveal.com/rates/94010-cpt-fee-schedule
- 94060: Bronchodilation responsiveness, spirometry pre and post — https://www.med-reveal.com/rates/94060-cpt-fee-schedule
- 94070: Bronchospasm provocation evaluation, multiple spirometric determinations — https://www.med-reveal.com/rates/94070-cpt-fee-schedule
- 94150: Vital capacity, total (separate procedure) — https://www.med-reveal.com/rates/94150-cpt-fee-schedule
- 94200: Maximum breathing capacity, maximal voluntary ventilation — https://www.med-reveal.com/rates/94200-cpt-fee-schedule
- 94375: Respiratory flow volume loop — https://www.med-reveal.com/rates/94375-cpt-fee-schedule
- 94400: Breathing response to CO2 — https://www.med-reveal.com/rates/94400-cpt-fee-schedule

Commercial negotiated rates for 94003 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules