CPT 91124 Gastroenterology
Rct snsatn tone&cmplianc std Cost
Body System: Digestive
Medicare Facility Rate
$769
CMS PFS CY2026
Medicare Non-Facility Rate
$769
Office/clinic setting
Hospital Outpatient
$221
OPPS rate
Surgery Center (ASC)
$119
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.05
Work RVU
19.74
Facility PE RVU
0.22
Malpractice RVU
23.01
Total RVU
Frequently Asked Questions
How much does Rct snsatn tone&cmplianc std cost?
The Medicare facility rate is $769. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $221. Ambulatory surgery center rate: $119.
How much does Rct snsatn tone&cmplianc std 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 $769.