Price Checker / CPT 49613
CPT 49613 — Rpr aa hrn rcr < 3 rdc
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$387
What Medicare pays in a hospital/ASC setting
$387
What Medicare pays in a physician's office
$39,113
Based on 30 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 49613
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| John Muir Health Behavioral Health Center , CA | $175,151 | $78,818 | 45145% |
| John Muir Health Concord Medical Center , CA | $175,151 | $78,818 | 45145% |
| John Muir Health Walnut Creek Medical Center , CA | $175,151 | $78,818 | 45145% |
| Southern Regional Medical Center , GA | $50,539 | $4,241 | 12955% |
| "Saint Clare's Behavioral Health - Boonton" , NJ | $38,948 | $5,143 | 9961% |
| "Saint Clare's Denville Hospital" , NJ | $38,948 | $5,143 | 9961% |
| "Saint Clare's Dover Hospital" , NJ | $38,948 | $5,143 | 9961% |
| McLaren Lapeer Region , MI | $38,454 | $19,227 | 9833% |
| McLaren Macomb , MI | $37,893 | $18,946 | 9688% |
| Ashley Regional Medical Center , UT | $33,088 | — | 8447% |
| "Woman's Hospital" , CA | $29,935 | $29,935 | 7633% |
| Fauquier Health , VA | $29,734 | — | 7581% |
| Banner Fort Collins Medical Center , CO | — | — | 7528% |
| Banner McKee Medical Center , CO | — | — | 7528% |
| Shasta Regional Medical Center , CA | $26,888 | $5,619 | 6846% |
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About CPT 49613
CPT code 49613 refers to “Rpr aa hrn rcr < 3 rdc”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $387 in a facility (hospital or ambulatory surgery center) and $387in 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.