Price Checker / CPT 64590
How much does Ins/rpl Prph Sac/gstr Npg/r cost?
CPT 64590 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 45x the fair price — among the most extreme markups. Dispute this.
Fair price
$640–$1,300
What this should cost
With insurance
~$190,900
Typical out-of-pocket
Overcharged if over
$1,650
Push back above this
The average hospital charge of $44,053 is $43,083 over the fair price (about 45x the fair rate).
What hospitals charge for Ins/rpl Prph Sac/gstr Npg/r
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| PeaceHealth St. Joseph Medical Center , WA | $15,473 | — | 38648% |
| "MultiCare Mary Bridge Children's Hospital" , WA | — | — | 37943% |
| WEST VALLEY MEDICAL CENTER CALDWELL, ID | — | — | 37264% |
| EASTERN IDAHO RMC IDAHO FALLS, ID | — | — | 33567% |
| Jackson Purchase Medical Center MAYFIELD, KY | $141,314 | — | 32902% |
| Lincoln Health Damariscotta, ME | — | — | 29853% |
| Palm Bay Hospital Palm Bay, FL | $110,625 | — | 28835% |
| AnMed Health Cannon ANDERSON, SC | — | — | 28256% |
| Lake Region Healthcare Hospital , MN | — | — | 28199% |
| UCSF Health Saint Francis Hospital SAN FRANCISCO, CA | — | — | 24876% |
| Waldo County General Hospital Belfast, ME | — | — | 24506% |
| Mon Health Medical Center MORGANTOWN, WV | — | — | 23630% |
| MultiCare Good Samaritan Hospital PUYALLUP, WA | — | — | 23357% |
| TIFFIN HOSPITAL Tiffin, OH | $99,170 | — | 23060% |
| Stephens Memorial Hospital Norway, ME | — | — | 22940% |
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/rpl Prph Sac/gstr Npg/r
CPT code 64590 refers to ins/rpl prph sac/gstr npg/r (billing description: "Ins/rpl prph sac/gstr npg/r"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $267 in a facility (hospital or surgery center) and $428 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.