CPT 97813 Other
Acup 1/> w/estim 1st 15 min Cost
Body System: General
Medicare Facility Rate
$33
CMS PFS CY2026
Medicare Non-Facility Rate
$56
Office/clinic setting
Hospital Outpatient
$30
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.74
Work RVU
0.21
Facility PE RVU
0.05
Malpractice RVU
1.69
Total RVU
Frequently Asked Questions
How much does Acup 1/> w/estim 1st 15 min cost?
The Medicare facility rate is $33. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $30.
How much does Acup 1/> w/estim 1st 15 min 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 $33.