CPT 81538 Pathology/Laboratory
Testing of lung tumor cells for prediction of survival Cost
Body System: General
Medicare Facility Rate
$2,871
CMS PFS CY2026
Medicare Non-Facility Rate
$2,871
Office/clinic setting
Frequently Asked Questions
How much does Testing of lung tumor cells for prediction of survival cost?
The Medicare facility rate is $2,871. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Testing of lung tumor cells for prediction of survival 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 $2,871.