CPT 49616 Surgery - Digestive
Rpr aa hrn rcr 3-10 ncr/strn Cost
Body System: Digestive
Medicare Facility Rate
$783
CMS PFS CY2026
Medicare Non-Facility Rate
$783
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
15.16
Work RVU
4.34
Facility PE RVU
3.95
Malpractice RVU
23.45
Total RVU
Frequently Asked Questions
How much does Rpr aa hrn rcr 3-10 ncr/strn cost?
The Medicare facility rate is $783. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rpr aa hrn rcr 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 $783.