CPT 76145 Radiology

How Much Does Medical Physic Dos Evaluation Rad Exps Cost?

Also known as: Med physic dos eval rad exps (CPT 76145)

Medical Physic Dos Evaluation Rad Exps (CPT 76145) costs $1,039 at Medicare rates. Hospital outpatient rate: $381.

Cost Comparison by Payer

How much Med physic dos eval rad exps costs across different settings and payers

Medicare
Facility rate
$1,039
Hospital Outpatient
OPPS rate
$381
Surgery Center
ASC rate
$205
Medicare (Facility)
$1,039
CMS PFS 2026 national rate
Hospital Outpatient
$381
OPPS rate
Surgery Center (ASC)
$205
Ambulatory surgery center

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How to Reduce Your Cost for Med physic dos eval rad exps

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

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 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 $205, compared to $381 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

Frequently Asked Questions

How much does Med physic dos eval rad exps cost?

The Medicare facility rate for Med physic dos eval rad exps is $1,039. In a hospital outpatient setting, the rate is $381. At an ambulatory surgery center, the rate is $205. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Med physic dos eval rad exps cost without insurance?

Without insurance, the cost of Med physic dos eval rad exps 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 Med physic dos eval rad exps?

Most commercial health insurance plans and Medicare cover Med physic dos eval rad exps 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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