Price Checker / CPT 37243
CPT 37243 — Vasc embolize/occlude organ
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$482
What Medicare pays in a hospital/ASC setting
$7,995
What Medicare pays in a physician's office
$39,186
Based on 47 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 37243
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| University of Texas Medical Branch Galveston, TX | $116,786 | — | 1361% |
| UTMB Health Angleton Danbury Hospital Galveston, TX | $116,786 | — | 1361% |
| UTMB Health Clear Lake Hospital Galveston, TX | $116,786 | — | 1361% |
| UTMB Health League City Hospital Galveston, TX | $116,786 | — | 1361% |
| Roper Hospital Inc Charleston, SC | $89,866 | — | 934% |
| Memorial Medical Center , NM | $73,855 | — | 824% |
| Southeastern Regional Medical Center Newnan, GA | $70,116 | — | 777% |
| CHOC at Mission Hospital , CA | $69,491 | — | 769% |
| Texas Health Methodist Hospital Cleburne Cleburne, TX | $19,015 | — | 756% |
| SOUTHSIDE MEDICAL CENTER Petersburg, VA | $38,627 | — | 724% |
| Vaughan Regional Medical Center Parkway Campus Selma, AL | $55,030 | — | 588% |
| Mercy Rehabilitation Hospital Fort Smith , AR | $53,714 | — | 572% |
| Haywood Regional Medical Center , NC | $47,491 | — | 494% |
| Guthrie Corning Hospital Corning, NY | $47,203 | — | 490% |
| Guthrie Cortland Medical Center Cortland, NY | $47,203 | — | 490% |
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About CPT 37243
CPT code 37243 refers to “Vasc embolize/occlude organ”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $482 in a facility (hospital or ambulatory surgery center) and $7,995in 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.