CPT 46255 Surgery - Digestive
Remove int/ext hem 1 group Cost
Body System: Digestive
Medicare Facility Rate
$351
CMS PFS CY2026
Medicare Non-Facility Rate
$581
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.84
Work RVU
4.75
Facility PE RVU
0.91
Malpractice RVU
17.39
Total RVU
Frequently Asked Questions
How much does Remove int/ext hem 1 group cost?
The Medicare facility rate is $351. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Remove int/ext hem 1 group 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 $351.