Price Checker / CPT 63053
How much does Lam Factc/frmt Arthrd Lum Ea cost?
CPT 63053 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 346x the fair price — among the most extreme markups. Dispute this.
Fair price
$310–$610
What this should cost
With insurance
~$2,900
Typical out-of-pocket
Overcharged if over
$760
Push back above this
The average hospital charge of $159,183 is $158,723 over the fair price (about 346x the fair rate).
What hospitals charge for Lam Factc/frmt Arthrd Lum Ea
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| The Orthopedic Hospital Fort Wayne, IN | $581,092 | — | 283705% |
| Tanner Medical Center/Villa Rica Villa Rica, GA | $188,319 | — | 85437% |
| ST MARY'S HOSPITAL Richmond, VA | $409,745 | — | 82963% |
| University of Texas Medical Branch Galveston, TX | $139,064 | — | 67819% |
| UTMB Health Angleton Danbury Hospital Galveston, TX | $139,064 | — | 67819% |
| UTMB Health Clear Lake Hospital Galveston, TX | $139,064 | — | 67819% |
| UTMB Health League City Hospital Galveston, TX | $139,064 | — | 67819% |
| MARY IMMACULATE HOSPITAL Newport News, VA | $222,524 | — | 54024% |
| Lake Region Healthcare Hospital , MN | — | — | 18095% |
| Abrazo Arizona Heart Hospital , AZ | — | — | 13235% |
| UCHealth Grandview Hospital COLORADO SPRINGS, CO | — | — | 11963% |
| Abrazo Surprise Hospital , AZ | — | — | 10441% |
| Mackinac Straits Health System Saint Ignace, MI | $604 | — | 178% |
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 Lam Factc/frmt Arthrd Lum Ea
CPT code 63053 refers to lam factc/frmt arthrd lum ea (billing description: "Lam factc/frmt arthrd lum ea"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $205 in a facility (hospital or surgery center) and $205 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.