CPT 48547 Surgery - Digestive
Duodenal exclusion Cost
Body System: Digestive
Medicare Facility Rate
$1,665
CMS PFS CY2026
Medicare Non-Facility Rate
$1,665
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
29.62
Work RVU
12.30
Facility PE RVU
7.93
Malpractice RVU
49.85
Total RVU
Frequently Asked Questions
How much does Duodenal exclusion cost?
The Medicare facility rate is $1,665. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Duodenal exclusion 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 $1,665.