How Much Does Initial Nursing Facility Care (Low Complexity, 25 Minutes) Cost?
This service covers the initial evaluation and management for a patient admitted to a nursing facility, requiring a straightforward or low level of medical decision-making and 25 minutes spent with the patient. It establishes the initial care plan for residents in a nursing facility.
Step 1 · The average price
Average hospital price
$140
Based on 100 hospitals across 82 cities
💡 The doctor's Medicare fee is $72 — that's what the physician receives. Hospital/facility charges are separate.
Step 2 · Your city
What does Initial Nursing Facility Care cost where you live?
Prices vary by location. Pick your city to see local hospital prices.
In :
Average price
—
Range
—
Hospitals
—
vs. national
—
Hospitals in
| Hospital | Median price | Range |
|---|
Prices from the Hospital Price Transparency Act. Median = middle price across insurers at that hospital.
Common Questions
How much does Initial Nursing Facility Care cost?
The average Average hospital price for Initial Nursing Facility Care (Low Complexity, 25 Minutes) is $140. Across 100 hospitals, prices range from $59 to $310.
Does Medicare cover Initial Nursing Facility Care?
Yes. Medicare pays physicians $72 on average. Under Original Medicare (Part B), you typically pay 20% after your deductible (~$14).
How much does it cost without insurance?
Uninsured patients often face the chargemaster rate (3-10x higher than cash price). Always ask the hospital for their self-pay or cash-pay rate — often 40-80% off the list price.
Why is the price so different between hospitals?
Hospital prices for the same procedure vary by insurance contract, facility overhead, and regional cost of living. In some cities, the highest-priced hospital charges 3-5× what the lowest-priced hospital charges for the same service.
What should I ask before scheduling?
Ask for the total estimated bill (including facility + anesthesia + supplies), whether the service is covered by your insurance, if the procedure can be done at an ambulatory surgery center (typically 30-60% cheaper), and what the cash-pay rate is.
💬 Ask a Question About This Procedure
Not sure what applies to your situation? Ask our AI assistant. Answers in plain English, with links to hospital data.