CPT 35221 Surgery - Cardiovascular

How Much Does Repair of Bld Vsl Dir Intra-abdl Cost?

Also known as: Rpr bld vsl dir intra-abdl (CPT 35221)

Repair of Bld Vsl Dir Intra-abdl (CPT 35221) costs $1,338 at Medicare rates.

Medicare (Facility)
$1,338
CMS PFS 2026 national rate

Procedures Commonly Done Together

These procedures are frequently performed alongside Rpr bld vsl dir intra-abdl

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How to Reduce Your Cost for Rpr bld vsl dir intra-abdl

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.

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.

25.95
Work RVU
7.58
Practice Expense RVU
6.54
Malpractice RVU
40.07
Total RVU

Payment = Total RVU (40.07) x CF ($33.40) = $1,338

Frequently Asked Questions

How much does Rpr bld vsl dir intra-abdl cost?

The Medicare facility rate for Rpr bld vsl dir intra-abdl is $1,338. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Rpr bld vsl dir intra-abdl cost without insurance?

Without insurance, the cost of Rpr bld vsl dir intra-abdl 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 Rpr bld vsl dir intra-abdl?

Most commercial health insurance plans and Medicare cover Rpr bld vsl dir intra-abdl 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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