CPT 0509T Other

Pattern erg w/i&r Cost

Body System: General

Medicare Facility Rate
$78
CMS PFS CY2026
Medicare Non-Facility Rate
$78
Office/clinic setting
Hospital Outpatient
$221
OPPS rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

0.39
Work RVU
1.92
Facility PE RVU
0.02
Malpractice RVU
2.33
Total RVU

Frequently Asked Questions

How much does Pattern erg w/i&r cost?

The Medicare facility rate is $78. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $221.

How much does Pattern erg w/i&r cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $78.

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