CPT 63197 Surgery - Nervous
Lam w/cordotomy 1stg thrc Cost
Body System: Nervous
Medicare Facility Rate
$1,684
CMS PFS CY2026
Medicare Non-Facility Rate
$1,684
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
23.48
Work RVU
17.01
Facility PE RVU
9.92
Malpractice RVU
50.41
Total RVU
Frequently Asked Questions
How much does Lam w/cordotomy 1stg thrc cost?
The Medicare facility rate is $1,684. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Lam w/cordotomy 1stg thrc 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 $1,684.