CPT 38240 Surgery - Hemic/Lymphatic
Transplt allo hct/donor Cost
Body System: Hemic/Lymphatic
Medicare Facility Rate
$202
CMS PFS CY2026
Medicare Non-Facility Rate
$202
Office/clinic setting
Hospital Outpatient
$64
OPPS rate
Surgery Center (ASC)
$13
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.90
Work RVU
1.89
Facility PE RVU
0.25
Malpractice RVU
6.04
Total RVU
Frequently Asked Questions
How much does Transplt allo hct/donor cost?
The Medicare facility rate is $202. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $64. Ambulatory surgery center rate: $13.
How much does Transplt allo hct/donor 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 $202.