CPT 38228 Surgery - Hemic/Lymphatic
Car-t admn autologous Cost
Body System: Hemic/Lymphatic
Medicare Facility Rate
$150
CMS PFS CY2026
Medicare Non-Facility Rate
$319
Office/clinic setting
Hospital Outpatient
$337
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.00
Work RVU
1.29
Facility PE RVU
0.20
Malpractice RVU
9.55
Total RVU
Frequently Asked Questions
How much does Car-t admn autologous cost?
The Medicare facility rate is $150. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $337.
How much does Car-t admn autologous 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 $150.