Price Checker / CPT 15101
CPT 15101 — Splt agrft t/a/l ea addl 100
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$101
What Medicare pays in a hospital/ASC setting
$201
What Medicare pays in a physician's office
$7,253
Based on 79 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 15101
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| John Muir Health Behavioral Health Center , CA | $82,101 | $36,945 | 40663% |
| Missouri Baptist Sullivan Hospital , MO | $26,647 | $15,988 | 13130% |
| Banner North Colorado Medical Center , CO | — | — | 11067% |
| The University of Kansas Health System Kansas City Campus , KS | $20,440 | $4,088 | 10049% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $8,339 | — | 4041% |
| Kindred Hospital Las Vegas - Sahara Las Vegas, NV | $8,339 | — | 4041% |
| Kindred Hospital Bay Area - St. Petersburg St. Petersburg, FL | $7,830 | — | 3788% |
| Kindred Hospital Bay Area - Tampa Tampa, FL | $7,830 | — | 3788% |
| Kindred Hospital Central Tampa Tampa, FL | $7,830 | — | 3788% |
| Kindred Hospital Melbourne Melbourne, FL | $7,830 | — | 3788% |
| Kindred Hospital North Florida Green Cove Springs, FL | $7,830 | — | 3788% |
| Kindred Hospital Ocala Ocala, FL | $7,830 | — | 3788% |
| Kindred Hospital South Florida - Coral Gables Coral Gables, FL | $7,830 | — | 3788% |
| Kindred Hospital South Florida - Ft. Lauderdale Fort Lauderdale, FL | $7,830 | — | 3788% |
| Kindred Hospital South Florida - Hollywood Hollywood, FL | $7,830 | — | 3788% |
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About CPT 15101
CPT code 15101 refers to “Splt agrft t/a/l ea addl 100”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $101 in a facility (hospital or ambulatory surgery center) and $201in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.