CPT 49188 Surgery - Digestive
Opn exc/dst ntra-abd 10.1-20 Cost
Body System: Digestive
Medicare Facility Rate
$1,852
CMS PFS CY2026
Medicare Non-Facility Rate
$1,852
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
33.15
Work RVU
14.67
Facility PE RVU
7.64
Malpractice RVU
55.46
Total RVU
Frequently Asked Questions
How much does Opn exc/dst ntra-abd 10.1-20 cost?
The Medicare facility rate is $1,852. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Opn exc/dst ntra-abd 10.1-20 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 $1,852.