CPT 49187 Surgery - Digestive
Opn exc/dstr ntra-abd 5.1-10 Cost
Body System: Digestive
Medicare Facility Rate
$1,546
CMS PFS CY2026
Medicare Non-Facility Rate
$1,546
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
27.93
Work RVU
11.95
Facility PE RVU
6.42
Malpractice RVU
46.30
Total RVU
Frequently Asked Questions
How much does Opn exc/dstr ntra-abd 5.1-10 cost?
The Medicare facility rate is $1,546. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Opn exc/dstr ntra-abd 5.1-10 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 $1,546.