Price Checker / CPT 21155
How much does Rcnstj Mdfc Lefort Iii W/i cost?
CPT 21155 · Based on 2026 Medicare rates and hospital-published pricing
A fair cash price for this is roughly $4,600–$5,400.
Fair price
$4,600–$5,400
What this should cost
With insurance
~$3,600
Typical out-of-pocket
Overcharged if over
$6,750
Push back above this
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Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Rcnstj Mdfc Lefort Iii W/i
CPT code 21155 refers to rcnstj mdfc lefort iii w/i (billing description: "Rcnstj mdfc lefort iii w/i"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,851 in a facility (hospital or surgery center) and $1,851 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.