CPT 49406 Surgery - Digestive
Image cath fluid peri/retro Cost
Body System: Digestive
Medicare Facility Rate
$167
CMS PFS CY2026
Medicare Non-Facility Rate
$837
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.90
Work RVU
0.67
Facility PE RVU
0.42
Malpractice RVU
25.06
Total RVU
Frequently Asked Questions
How much does Image cath fluid peri/retro cost?
The Medicare facility rate is $167. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Image cath fluid peri/retro 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 $167.