CPT 94610 Pulmonary

Intrapulm surfactant admn Cost

Body System: Respiratory

Medicare Facility Rate
$48
CMS PFS CY2026
Medicare Non-Facility Rate
$48
Office/clinic setting
Hospital Outpatient
$224
OPPS rate

Relative Value Units (RVUs)

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

1.13
Work RVU
0.23
Facility PE RVU
0.07
Malpractice RVU
1.43
Total RVU

Frequently Asked Questions

How much does Intrapulm surfactant admn cost?

The Medicare facility rate is $48. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $224.

How much does Intrapulm surfactant admn 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 $48.

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