CPT 40652 Surgery - Digestive

Rpr lip fth<half ver height Cost

Body System: Digestive

Medicare Facility Rate

$362

CMS PFS CY2026

Medicare Non-Facility Rate

$573

Office/clinic setting

Hospital Outpatient

$551

OPPS rate

Surgery Center (ASC)

$295

ASC rate

Relative Value Units (RVUs)

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

4.32

Work RVU

5.70

Facility PE RVU

0.82

Malpractice RVU

17.15

Total RVU

Frequently Asked Questions

How much does Rpr lip fth<half ver height cost?

The Medicare facility rate is $362. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $551. Ambulatory surgery center rate: $295.

How much does Rpr lip fth<half ver height 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 $362.