Price Checker / CPT 37238
CPT 37238 — Open/perq place stent same
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$271
What Medicare pays in a hospital/ASC setting
$3,275
What Medicare pays in a physician's office
$32,124
Based on 44 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 37238
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| MEMORIAL MEDICAL CENTER Mechanicsville, VA | $114,586 | — | 2713% |
| SOUTHSIDE MEDICAL CENTER Petersburg, VA | $39,979 | — | 1912% |
| Guthrie Towanda Memorial Hospital Towanda, PA | $59,809 | — | 1726% |
| Guthrie Corning Hospital Corning, NY | $58,067 | — | 1673% |
| Guthrie Cortland Medical Center Cortland, NY | $58,067 | — | 1673% |
| Guthrie Robert Packer Hospital Sayre, PA | $58,067 | — | 1673% |
| Guthrie Troy Community Hospital Troy, PA | $58,067 | — | 1673% |
| Ochsner St. Martin Hospital BREAUX BRIDGE, LA | $54,523 | — | 1565% |
| Carolina Pines Regional Medical Center Hartsville, SC | $54,052 | — | 1551% |
| Ochsner St. Anne Hospital Raceland, LA | $43,411 | — | 1533% |
| Haywood Regional Medical Center , NC | $40,178 | — | 1127% |
| United Hospital Center Bridgeport, WV | $40,376 | — | 1096% |
| Tanner Medical Center/Villa Rica Villa Rica, GA | $40,823 | — | 1059% |
| ProMedica Bay Park Hospital , OH | $27,984 | — | 1014% |
| Thomas Hospitals South Charleston, WV | $37,040 | — | 975% |
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About CPT 37238
CPT code 37238 refers to “Open/perq place stent same”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $271 in a facility (hospital or ambulatory surgery center) and $3,275in 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.