# CPT 95800: Slp Stdy Unatnd W/hrt Rate/o2 Sat/resp/slp Time

Medicare CPT 95800 pays $141.29 in a non-facility setting and $141.29 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $124.58 in Arkansas to $162.87 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/95800-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Neurology, Pulmonary Disease, Sleep Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $141.29 |
| National facility | $141.29 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $162.87 | $162.87 |
| California | $161.81 | $161.81 |
| Alaska | $161.50 | $161.50 |
| Washington | $157.36 | $157.36 |
| New Jersey | $156.94 | $156.94 |
| New York | $156.22 | $156.22 |
| Hawaii | $155.73 | $155.73 |
| Massachusetts | $155.54 | $155.54 |
| Connecticut | $150.85 | $150.85 |
| Colorado | $148.32 | $148.32 |
| Oregon | $146.92 | $146.92 |
| Maryland | $146.55 | $146.55 |
| New Hampshire | $145.61 | $145.61 |
| Rhode Island | $145.28 | $145.28 |
| Florida | $143.56 | $143.56 |
| Minnesota | $143.11 | $143.11 |
| Puerto Rico | $142.48 | $142.48 |
| Virgin Islands | $142.48 | $142.48 |
| Montana | $141.28 | $141.28 |
| Nevada | $141.06 | $141.06 |
| Wyoming | $140.76 | $140.76 |
| North Dakota | $140.10 | $140.10 |
| South Dakota | $139.96 | $139.96 |
| Delaware | $139.88 | $139.88 |
| Texas | $139.56 | $139.56 |
| Illinois | $139.44 | $139.44 |
| Pennsylvania | $139.39 | $139.39 |
| Vermont | $139.18 | $139.18 |
| Virginia | $138.80 | $138.80 |
| Arizona | $137.54 | $137.54 |
| Georgia | $136.59 | $136.59 |
| Maine | $135.57 | $135.57 |
| Michigan | $135.30 | $135.30 |
| Wisconsin | $135.21 | $135.21 |
| Utah | $134.39 | $134.39 |
| North Carolina | $133.09 | $133.09 |
| South Carolina | $132.51 | $132.51 |
| New Mexico | $132.43 | $132.43 |
| Indiana | $132.11 | $132.11 |
| Missouri | $132.07 | $132.07 |
| Louisiana | $131.68 | $131.68 |
| Ohio | $131.60 | $131.60 |
| Nebraska | $131.45 | $131.45 |
| Idaho | $131.30 | $131.30 |
| Iowa | $130.59 | $130.59 |
| Tennessee | $130.21 | $130.21 |
| Kansas | $129.58 | $129.58 |
| Oklahoma | $128.90 | $128.90 |
| Kentucky | $128.73 | $128.73 |
| West Virginia | $127.54 | $127.54 |
| Alabama | $126.47 | $126.47 |
| Mississippi | $125.26 | $125.26 |
| Arkansas | $124.58 | $124.58 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 95800 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