Price Checker / CPT 15221
CPT 15221 — Fth/gft fr s/a/l each addl
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$58
What Medicare pays in a hospital/ASC setting
$134
What Medicare pays in a physician's office
$23,604
Based on 20 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 15221
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| UC San Diego Jacobs Medical Center , CA | $63,177 | $34,747 | 47068% |
| UC San Diego Moores Medical Center , CA | $63,177 | $34,747 | 47068% |
| UC San Diego Sulpizio Cardiovascular Center , CA | $63,177 | $34,747 | 47068% |
| Phelps Hospital , NY | — | $4,595 | 22180% |
| Lenox Hill Hospital , NY | — | $4,595 | 18524% |
| The University of Kansas Health System Kansas City Campus , KS | $23,718 | $4,744 | 17608% |
| Long Island Jewish Forest Hills , NY | — | $4,595 | 14156% |
| Long Island Jewish Valley Stream , NY | — | $4,595 | 13362% |
| Mather Hospital , NY | — | $4,595 | 13362% |
| Plainview Hospital , NY | — | $4,595 | 13362% |
| Syosset Hospital , NY | — | $4,595 | 13362% |
| North Shore University Hospital , NY | — | $4,595 | 12701% |
| Staten Island University Hospital , NY | — | $4,595 | 12701% |
| "Cohen Children's Medical Center" , NY | — | $4,595 | 11471% |
| Long Island Jewish Medical Center , NY | — | $4,595 | 11471% |
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About CPT 15221
CPT code 15221 refers to “Fth/gft fr s/a/l each addl”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $58 in a facility (hospital or ambulatory surgery center) and $134in 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.