# CPT 99378: Supervision Hospice Patient/month 30 Minutes/>

Medicare CPT 99378 pays $105.55 in a non-facility setting and $73.82 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $97.55 in Arkansas to $135.65 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99378-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $105.55 |
| National facility | $73.82 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $135.65 | $101.86 |
| District of Columbia | $116.93 | $79.55 |
| New York | $114.70 | $79.31 |
| New Jersey | $114.38 | $78.65 |
| California | $114.02 | $76.47 |
| Washington | $112.77 | $76.59 |
| Massachusetts | $112.07 | $76.42 |
| Connecticut | $110.87 | $76.69 |
| Hawaii | $110.04 | $73.96 |
| Florida | $109.17 | $77.34 |
| Maryland | $108.46 | $75.38 |
| Colorado | $108.26 | $74.50 |
| Rhode Island | $107.70 | $74.92 |
| Illinois | $107.61 | $76.95 |
| Oregon | $107.35 | $73.93 |
| New Hampshire | $106.90 | $73.86 |
| Puerto Rico | $105.98 | $73.90 |
| Virgin Islands | $105.98 | $73.90 |
| Montana | $105.54 | $73.81 |
| Pennsylvania | $105.42 | $74.33 |
| Nevada | $104.98 | $73.21 |
| Delaware | $104.94 | $73.59 |
| Texas | $104.92 | $73.68 |
| Wyoming | $104.59 | $72.86 |
| Michigan | $104.35 | $74.56 |
| Georgia | $104.32 | $74.06 |
| Minnesota | $104.24 | $71.59 |
| Virginia | $103.72 | $72.53 |
| Arizona | $103.65 | $72.90 |
| North Dakota | $103.36 | $71.63 |
| Vermont | $103.29 | $71.88 |
| South Dakota | $103.11 | $71.38 |
| New Mexico | $102.63 | $73.53 |
| Utah | $102.53 | $72.70 |
| Maine | $102.21 | $71.90 |
| Louisiana | $101.89 | $72.91 |
| Missouri | $101.86 | $72.74 |
| Ohio | $101.74 | $72.77 |
| South Carolina | $101.64 | $72.33 |
| West Virginia | $101.35 | $73.78 |
| North Carolina | $101.27 | $71.66 |
| Wisconsin | $101.15 | $70.75 |
| Indiana | $100.44 | $71.03 |
| Kentucky | $100.34 | $72.13 |
| Idaho | $100.08 | $70.89 |
| Oklahoma | $100.01 | $71.67 |
| Nebraska | $99.87 | $70.58 |
| Tennessee | $99.83 | $70.99 |
| Iowa | $99.58 | $70.55 |
| Kansas | $99.49 | $70.81 |
| Mississippi | $98.46 | $71.14 |
| Alabama | $98.44 | $70.68 |
| Arkansas | $97.55 | $70.29 |

## Related codes

- 99201: New Patient Office Visit: Coverage and Documentation Requirements — https://www.med-reveal.com/rates/99201-cpt-fee-schedule
- 99241: Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making — https://www.med-reveal.com/rates/99241-cpt-fee-schedule
- 99251: Inpatient consultation for a new or established patient which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. — https://www.med-reveal.com/rates/99251-cpt-fee-schedule
- 99288: Phys/qhp Direction Emergency Medical Systems — https://www.med-reveal.com/rates/99288-cpt-fee-schedule
- 99354: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99354-cpt-fee-schedule
- 99355: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99355-cpt-fee-schedule
- 99358: Prolng E/m Svc Before&/after Dir Pt Care 1st Hr — https://www.med-reveal.com/rates/99358-cpt-fee-schedule
- 99359: Prolng E/m Before&/after Dir Care Ea 30 Minutes — https://www.med-reveal.com/rates/99359-cpt-fee-schedule

Commercial negotiated rates for 99378 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