Price Checker / CPT 49412
How much does Ins Device For Rt Guide Open cost?
CPT 49412 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 110x the fair price — among the most extreme markups. Dispute this.
Fair price
$120–$140
What this should cost
With insurance
~$2,850
Typical out-of-pocket
Overcharged if over
$180
Push back above this
The average hospital charge of $14,348 is $14,218 over the fair price (about 110x the fair rate).
What hospitals charge for Ins Device For Rt Guide Open
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Dominican Hospital SANTA CRUZ, CA | — | — | 36790% |
| Lake Region Healthcare Hospital , MN | — | — | 35263% |
| Aurora Medical Center Manitowoc GRAFTON, WI | — | — | 33423% |
| Aurora Psychiatric Hospital WAUWATOSA, WI | — | — | 33423% |
| UCSF Health Saint Francis Hospital SAN FRANCISCO, CA | — | — | 28972% |
| HCA HOUSTON HEALTHCARE KINGWOOD Kingwood, TX | — | — | 26030% |
| "St. John's Hospital Camarillo" SPRINGFIELD, CA | — | — | 25384% |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Webster, TX | — | — | 22626% |
| Arroyo Grande Community Hospital , CA | — | — | 22435% |
| HCA HOUSTON HEALTHCARE CONROE Conroe, TX | — | — | 21855% |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Houston, TX | — | — | 21855% |
| HCA HOUSTON HEALTHCARE PEARLAND Pearland, TX | — | — | 21855% |
| HCA HOUSTON HEALTHCARE SOUTHEAST Pasadena, TX | — | — | 21855% |
| HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX | — | — | 21855% |
| HCA HOUSTON HEALTHCARE WEST Houston, TX | — | — | 21855% |
Were you billed for this procedure?
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 Ins Device For Rt Guide Open
CPT code 49412 refers to ins device for rt guide open (billing description: "Ins device for rt guide open"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $74 in a facility (hospital or surgery center) and $74 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.