CPT 45990 Surgery - Digestive
Surg dx exam anorectal Cost
Body System: Digestive
Medicare Facility Rate
$100
CMS PFS CY2026
Medicare Non-Facility Rate
$100
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.76
Work RVU
0.87
Facility PE RVU
0.35
Malpractice RVU
2.98
Total RVU
Frequently Asked Questions
How much does Surg dx exam anorectal cost?
The Medicare facility rate is $100. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Surg dx exam anorectal 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 $100.