Medicare MNT rates · Medicare rate
Medicare MNT payment rates in Hawaii and Guam, 2026
By Javier Alvarez · Updated · 2 min read
| 97802, dietitian paid per unit | $33.29 |
|---|---|
| 97803, dietitian paid per unit | $28.76 |
| G0270, dietitian paid per unit | $28.76 |
| 1-hour initial visit (97802 x 4) | $133.16 |
| Payment localities | 1 (statewide) |
| MAC contractor number | 01212 |
| National 97802 rate, for comparison | $31.23 |
| Data | CMS RVU26D, released Aug 26, 2026 |
A one-hour initial MNT visit in Hawaii and Guam pays $133.16 from Medicare in 2026: four units of 97802 at $33.29 each. There is a single payment locality, and its 97802 rate is about 6.6% above the national $31.23, tied for 8th highest of the 54 states and territories we computed. CMS prices Hawaii and Guam as one locality, so the amounts below apply in both.
What Medicare pays a dietitian per unit in Hawaii and Guam
| Code | Full PFS, office | Dietitian paid, office | Full PFS, facility | Dietitian paid, facility |
|---|---|---|---|---|
| 97802 | $39.16 | $33.29 | $27.39 | $23.28 |
| 97803 | $33.83 | $28.76 | $22.82 | $19.40 |
| G0270 | $33.83 | $28.76 | $22.82 | $19.40 |
| 97804 (group, per 30 min) | $18.04 | $15.33 | $12.72 | $10.81 |
| G0271 (group, per 30 min) | $18.04 | $15.33 | $12.72 | $10.81 |
"Full PFS" is the Physician Fee Schedule amount; Medicare pays a registered dietitian 85% of it. "Office" is the non-facility rate, "facility" applies when the visit happens in a setting such as a hospital outpatient department. 97802, 97803 and G0270 are per 15 minutes; the group codes 97804 and G0271 are per 30 minutes.
What a visit pays in Hawaii and Guam
Medicare MNT is billed in 15-minute units. A one-hour initial assessment is 4 units of 97802, a 30-minute follow-up is 2 units of 97803 (or G0270 after a new referral for a change in condition), and a patient's first-year benefit is 3 hours, which you could bill as the 4-unit assessment plus 8 units of follow-ups. The MNT units calculator turns minutes into units.
| Visit | Units | Dietitian is paid |
|---|---|---|
| 1-hour initial assessment | 97802 x 4 | $133.16 |
| 30-minute follow-up | 97803 x 2 | $57.52 |
| 30-minute follow-up after a new referral | G0270 x 2 | $57.52 |
| All 3 first-year hours | 97802 x 4 + 97803 x 8 | $363.24 |
How the Hawaii and Guam numbers are built
Take Hawaii and Guam, whose 2026 GPCIs are 1.000 for work, 1.137 for practice expense and 0.579 for malpractice. For 97802 in an office: (0.53 x 1.000) + (0.56 x 1.137) + (0.01 x 0.579) = 1.17251 RVUs. Times the 2026 conversion factor of $33.4009 that is $39.16, and 85% of it is $33.29. The RVUs come from the CMS PPRRVU2026_Oct_nonQPP.csv file and the GPCIs from GPCI2026.csv; the full method is in the report.
Before you bill Medicare MNT in Hawaii and Guam
These rates only apply when the visit qualifies: a registered dietitian or nutrition professional enrolled in Medicare, a beneficiary with diabetes or kidney disease not treated with dialysis (or within 36 months of a kidney transplant), and a referral from the treating physician. The Medicare MNT coverage guide covers enrollment, hour limits and referrals, and Medicare coverage for nutrition counseling explains what the patient's benefit includes. For code rules, see CPT 97802, CPT 97803 and G0270 and G0271.
Closest to Hawaii and Guam on the 97802 rate: California ($32.88 to $39.78) and Massachusetts ($32.26 to $34.90). Every state is in the 2026 report.
