CPT 49594 Surgery - Digestive
Rpr aa hrn 1st 3-10 ncr/strn Cost
Body System: Digestive
Medicare Facility Rate
$682
CMS PFS CY2026
Medicare Non-Facility Rate
$682
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
13.12
Work RVU
3.86
Facility PE RVU
3.45
Malpractice RVU
20.43
Total RVU
Frequently Asked Questions
How much does Rpr aa hrn 1st 3-10 ncr/strn cost?
The Medicare facility rate is $682. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rpr aa hrn 1st 3-10 ncr/strn 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 $682.