CPT 91113 Gastroenterology
Gi trc img intral colon i&r Cost
Body System: Digestive
Medicare Facility Rate
$985
CMS PFS CY2026
Medicare Non-Facility Rate
$985
Office/clinic setting
Hospital Outpatient
$950
OPPS rate
Surgery Center (ASC)
$510
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.35
Work RVU
27.05
Facility PE RVU
0.10
Malpractice RVU
29.50
Total RVU
Frequently Asked Questions
How much does Gi trc img intral colon i&r cost?
The Medicare facility rate is $985. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $950. Ambulatory surgery center rate: $510.
How much does Gi trc img intral colon i&r 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 $985.