Price Checker / CPT 49507
How much does Prp I/hern Init Block >5 Yr cost?
CPT 49507 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 21x the fair price — among the most extreme markups. Dispute this.
Fair price
$850–$1,700
What this should cost
With insurance
~$3,400
Typical out-of-pocket
Overcharged if over
$2,150
Push back above this
The average hospital charge of $27,331 is $26,031 over the fair price (about 21x the fair rate).
What hospitals charge for Prp I/hern Init Block >5 Yr
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| ST VINCENT MEDICAL CENTER Toledo, OH | $167,566 | — | 29298% |
| Franciscan Health Lafayette LAFAYETTE, IN | $130,057 | $33,425 | 22791% |
| Highpoint Health - Riverview with Ascension Saint Thomas , TN | $63,589 | — | 11092% |
| Memorial Medical Center PORT LAVACA, NM | $61,962 | — | 10806% |
| Los Alamos Medical Center LOS ALAMOS, NY | $53,596 | — | 9333% |
| Harris Regional Hospital SYLVA, NC | $43,028 | — | 7473% |
| Starr Regional Medical Center , TN | $41,625 | — | 7226% |
| Parrish Medical Center Titusville, FL | $27,974 | — | 4577% |
| Ashley Regional Medical Center VERNAL, UT | $24,720 | — | 4251% |
| Georgetown Community Hospital GEORGETOWN, KY | $19,326 | — | 3302% |
| Doylestown Health , PA | $22,485 | — | 2868% |
| Warren General Hospital WARREN, PA | $20,606 | — | 2620% |
| Jackson Park Hospital Chicago, IL | $15,139 | — | 2565% |
| Beartooth Billings Clinic RED LODGE, MT | $15,085 | — | 2555% |
| Castleview Hospital PRICE, UT | $14,570 | — | 2465% |
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 Prp I/hern Init Block >5 Yr
CPT code 49507 refers to prp i/hern init block >5 yr (billing description: "Prp i/hern init block >5 yr"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $568 in a facility (hospital or surgery center) and $568 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.