Price Checker / CPT 49187
CPT 49187 — Opn exc/dstr ntra-abd 5.1-10
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$1,546
What Medicare pays in a hospital/ASC setting
$1,546
What Medicare pays in a physician's office
Varies widely
Upload your bill to see your specific hospital's pricing
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.
Were you billed for this procedure?
Upload your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free, 60 seconds.
About CPT 49187
CPT code 49187 refers to “Opn exc/dstr ntra-abd 5.1-10”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,546 in a facility (hospital or ambulatory surgery center) and $1,546in 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.