CPT 64809 Surgery - Nervous
Sympathectomy thoracolumbar Cost
Body System: Nervous
Medicare Facility Rate
$1,094
CMS PFS CY2026
Medicare Non-Facility Rate
$1,094
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
14.34
Work RVU
12.38
Facility PE RVU
6.04
Malpractice RVU
32.76
Total RVU
Frequently Asked Questions
How much does Sympathectomy thoracolumbar cost?
The Medicare facility rate is $1,094. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Sympathectomy thoracolumbar 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 $1,094.