CPT 93505 Cardiovascular

Endomyocardial biopsy Cost

Body System: Cardiovascular

Medicare Facility Rate
$649
CMS PFS CY2026
Medicare Non-Facility Rate
$649
Office/clinic setting
Hospital Outpatient
$3
OPPS rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

4.02
Work RVU
14.93
Facility PE RVU
0.47
Malpractice RVU
19.42
Total RVU

Frequently Asked Questions

How much does Endomyocardial biopsy cost?

The Medicare facility rate is $649. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $3.

How much does Endomyocardial biopsy 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 $649.

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