CPT 45540 Surgery - Digestive
Correct rectal prolapse Cost
Body System: Digestive
Medicare Facility Rate
$974
CMS PFS CY2026
Medicare Non-Facility Rate
$974
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
17.67
Work RVU
8.32
Facility PE RVU
3.18
Malpractice RVU
29.17
Total RVU
Frequently Asked Questions
How much does Correct rectal prolapse cost?
The Medicare facility rate is $974. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Correct rectal prolapse 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 $974.