Price Checker / CPT 15221

How much does Fth/gft Fr S/a/l Each Addl cost?

CPT 15221 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 62x the fair price — among the most extreme markups. Dispute this.

Fair price

$200–$400

What this should cost

With insurance

~$2,350

Typical out-of-pocket

Overcharged if over

$500

Push back above this

The average hospital charge of $18,495 is $18,195 over the fair price (about 62x the fair rate).

What hospitals charge for Fth/gft Fr S/a/l Each Addl

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Phelps Hospital

SLEEPY HOLLOW, NY

$4,59522180%
Lenox Hill Hospital

NEW YORK, NY

$4,59518524%
Long Island Jewish Forest Hills

, NY

$4,59514156%
Long Island Jewish Valley Stream

, NY

$4,59513362%
Mather Hospital

, NY

$4,59513362%
Plainview Hospital

PLAINVIEW, NY

$4,59513362%
Syosset Hospital

, NY

$4,59513362%
North Shore University Hospital

MANHASSET, NY

$4,59512701%
Staten Island University Hospital

STATEN ISLAND, NY

$4,59512701%
"Cohen Children's Medical Center"

, NY

$4,59511471%
Long Island Jewish Medical Center

NEW HYDE PARK, NY

$4,59511471%
Zucker Hillside Hospital

, NY

$4,59511471%
Huntington Hospital

PASADENA, NY

$4,59510091%

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About Fth/gft Fr S/a/l Each Addl

CPT code 15221 refers to fth/gft fr s/a/l each addl (billing description: "Fth/gft fr s/a/l each addl"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $58 in a facility (hospital or surgery center) and $134 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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