# CPT 99306: Initial nursing facility care, high medical decision making

Medicare CPT 99306 pays $193.06 in a non-facility setting and $163.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $179.68 in Arkansas to $252.51 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/99306-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $193.06 |
| National facility | $163.33 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $252.51 | $220.85 |
| District of Columbia | $212.43 | $177.41 |
| New York | $209.28 | $176.11 |
| New Jersey | $208.34 | $174.87 |
| California | $206.28 | $171.10 |
| Washington | $204.71 | $170.82 |
| Massachusetts | $203.65 | $170.24 |
| Connecticut | $202.28 | $170.27 |
| Florida | $200.56 | $170.73 |
| Hawaii | $199.20 | $165.40 |
| Illinois | $198.15 | $169.43 |
| Maryland | $198.08 | $167.09 |
| Colorado | $197.16 | $165.53 |
| Rhode Island | $196.71 | $166.00 |
| Oregon | $195.53 | $164.21 |
| New Hampshire | $194.90 | $163.96 |
| Puerto Rico | $193.70 | $163.64 |
| Virgin Islands | $193.70 | $163.64 |
| Pennsylvania | $193.24 | $164.12 |
| Montana | $193.04 | $163.32 |
| Texas | $192.09 | $162.83 |
| Delaware | $192.04 | $162.67 |
| Michigan | $192.01 | $164.10 |
| Nevada | $191.84 | $162.09 |
| Georgia | $191.60 | $163.24 |
| Wyoming | $191.06 | $161.33 |
| Arizona | $189.83 | $161.02 |
| Minnesota | $189.63 | $159.05 |
| Virginia | $189.63 | $160.41 |
| New Mexico | $188.92 | $161.66 |
| Vermont | $188.58 | $159.15 |
| North Dakota | $188.49 | $158.77 |
| Utah | $188.17 | $160.22 |
| South Dakota | $187.96 | $158.23 |
| Louisiana | $187.46 | $160.32 |
| West Virginia | $187.40 | $161.57 |
| Missouri | $187.30 | $160.02 |
| Ohio | $187.16 | $160.02 |
| Maine | $187.15 | $158.74 |
| South Carolina | $186.70 | $159.23 |
| North Carolina | $185.70 | $157.96 |
| Wisconsin | $184.87 | $156.39 |
| Kentucky | $184.80 | $158.38 |
| Indiana | $184.11 | $156.55 |
| Oklahoma | $184.02 | $157.47 |
| Idaho | $183.53 | $156.18 |
| Tennessee | $183.27 | $156.25 |
| Nebraska | $183.01 | $155.57 |
| Kansas | $182.67 | $155.80 |
| Iowa | $182.60 | $155.40 |
| Mississippi | $181.53 | $155.94 |
| Alabama | $181.16 | $155.15 |
| Arkansas | $179.68 | $154.14 |

## Related codes

- 99304: Initial nursing facility care, straightforward to low medical decision making — https://www.med-reveal.com/rates/99304-cpt-fee-schedule
- 99305: Initial nursing facility care, moderate medical decision making — https://www.med-reveal.com/rates/99305-cpt-fee-schedule
- 99307: Subsequent nursing facility care, straightforward medical decision making — https://www.med-reveal.com/rates/99307-cpt-fee-schedule
- 99308: Subsequent nursing facility care, low medical decision making — https://www.med-reveal.com/rates/99308-cpt-fee-schedule
- 99309: Subsequent nursing facility care, moderate medical decision making — https://www.med-reveal.com/rates/99309-cpt-fee-schedule
- 99310: Subsequent nursing facility care, high medical decision making — https://www.med-reveal.com/rates/99310-cpt-fee-schedule
- 99315: Nursing facility discharge day management, 30 minutes or less — https://www.med-reveal.com/rates/99315-cpt-fee-schedule
- 99316: Nursing facility discharge day management, more than 30 minutes — https://www.med-reveal.com/rates/99316-cpt-fee-schedule

Commercial negotiated rates for 99306 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