Price Checker / CPT 92943
CPT 92943 — Prq trluml revsc ch occ ant
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$634
What Medicare pays in a hospital/ASC setting
$634
What Medicare pays in a physician's office
$38,591
Based on 247 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 92943
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Gateway Regional Medical Center Granite City, IL | $88,719 | — | 41604% |
| The Women and Babies Hospital Lancaster, PA | $34,238 | — | 19036% |
| Baptist Health Walker Hospital , AL | $114,804 | $86,103 | 18009% |
| Baptist Health Princeton Hospital , AL | $96,752 | $72,564 | 15162% |
| Adena Fayette Medical Center Washington Court House, OH | $81,889 | — | 14497% |
| Boulder Community Health , CO | $91,507 | $45,754 | 14334% |
| Gateway Regional Medical Center , IL | $88,719 | $88,719 | 13895% |
| Baptist Health Shelby Hospital , AL | $87,472 | $65,604 | 13698% |
| Southlake Specialty Hospital LLC Southlake, TX | — | — | 12960% |
| Dignity Health Arizona General Hospital - Laveen , AZ | — | — | 12875% |
| Dignity Health Arizona General Hospital - Mesa , AZ | — | — | 12875% |
| Adena Fayette Medical Center , OH | $81,889 | $40,945 | 12817% |
| Adena Greenfield Medical Center , OH | $81,889 | $40,945 | 12817% |
| Adena Pike Medical Center , OH | $81,889 | $40,945 | 12817% |
| Adena Regional Medical Center , OH | $81,889 | $40,945 | 12817% |
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About CPT 92943
CPT code 92943 refers to “Prq trluml revsc ch occ ant”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $634 in a facility (hospital or ambulatory surgery center) and $634in 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.