CPT 0597T Other
Temp fml iu valve-pmp rplcmt Cost
Body System: General
Medicare Facility Rate
$53
CMS PFS CY2026
Medicare Non-Facility Rate
$597
Office/clinic setting
Hospital Outpatient
$712
OPPS rate
Surgery Center (ASC)
$311
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.02
Work RVU
0.52
Facility PE RVU
0.06
Malpractice RVU
17.86
Total RVU
Frequently Asked Questions
How much does Temp fml iu valve-pmp rplcmt cost?
The Medicare facility rate is $53. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $712. Ambulatory surgery center rate: $311.
How much does Temp fml iu valve-pmp rplcmt 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 $53.