CPT 59074 Surgery - Maternity

How Much Does Fetal Fluid Drainage with US Cost?

Also known as: Fetal fluid drainage w/us (CPT 59074)

Fetal Fluid Drainage with US (CPT 59074) costs $276 at Medicare rates. Hospital outpatient rate: $311.

Cost Comparison by Payer

How much Fetal fluid drainage w/us costs across different settings and payers

Medicare
Facility rate
$276
Hospital Outpatient
OPPS rate
$311
Surgery Center
ASC rate
$167
Medicare (Facility)
$276
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$388
Non-facility setting
Hospital Outpatient
$311
OPPS rate
Surgery Center (ASC)
$167
Ambulatory surgery center

Procedures Commonly Done Together

These procedures are frequently performed alongside Fetal fluid drainage w/us

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How to Reduce Your Cost for Fetal fluid drainage w/us

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($388) differs from the facility rate ($276). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $167, compared to $311 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

5.11
Work RVU
1.51
Practice Expense RVU
1.63
Malpractice RVU
11.63
Total RVU

Payment = Total RVU (11.63) x CF ($33.40) = $388

Frequently Asked Questions

How much does Fetal fluid drainage w/us cost?

The Medicare facility rate for Fetal fluid drainage w/us is $276. In a hospital outpatient setting, the rate is $311. At an ambulatory surgery center, the rate is $167. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Fetal fluid drainage w/us cost without insurance?

Without insurance, the cost of Fetal fluid drainage w/us can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Fetal fluid drainage w/us?

Most commercial health insurance plans and Medicare cover Fetal fluid drainage w/us when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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