Price Checker / CPT 39501

How much does Repair Diaphragm Laceration cost?

CPT 39501 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $2,750–$3,250.

Fair price

$2,750–$3,250

What this should cost

With insurance

~$3,000

Typical out-of-pocket

Overcharged if over

$4,050

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About Repair Diaphragm Laceration

CPT code 39501 refers to repair diaphragm laceration (billing description: "Repair diaphragm laceration"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $810 in a facility (hospital or surgery center) and $810 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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