CPT 49596 Surgery - Digestive
Rpr aa hrn 1st > 10 ncr/strn Cost
Body System: Digestive
Medicare Facility Rate
$937
CMS PFS CY2026
Medicare Non-Facility Rate
$937
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
18.20
Work RVU
5.11
Facility PE RVU
4.73
Malpractice RVU
28.04
Total RVU
Frequently Asked Questions
How much does Rpr aa hrn 1st > 10 ncr/strn cost?
The Medicare facility rate is $937. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rpr aa hrn 1st > 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 $937.