Price Checker / CPT 16035

How much does Escharotomy 1st Incision cost?

CPT 16035 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 20x the fair price — among the most extreme markups. Dispute this.

Fair price

$710–$840

What this should cost

With insurance

~$2,450

Typical out-of-pocket

Overcharged if over

$1,050

Push back above this

The average hospital charge of $15,863 is $15,083 over the fair price (about 20x the fair rate).

What hospitals charge for Escharotomy 1st Incision

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

HospitalGross ChargeCash Ratevs Medicare
Benson Hospital

BENSON, AZ

8777%

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About Escharotomy 1st Incision

CPT code 16035 refers to escharotomy 1st incision (billing description: "Escharotomy 1st incision"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $179 in a facility (hospital or surgery center) and $179 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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