Price Checker / CPT 92986
CPT 92986 — Revision of aortic valve
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$1,168
What Medicare pays in a hospital/ASC setting
$1,168
What Medicare pays in a physician's office
$51,167
Based on 27 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 92986
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| McLaren Northern Michigan , MI | $117,561 | $58,780 | 9965% |
| McLaren Northern Michigan , MI | $117,561 | — | 8958% |
| "St Luke's Hospital Allentown Campus" , PA | $90,632 | $75,225 | 7659% |
| St Lukes Hospital Anderson Campus , PA | $90,632 | $75,225 | 7659% |
| St Lukes Hospital Bethlehem Campus , PA | $90,632 | $75,225 | 7659% |
| St Lukes Hospital Carbon Campus , PA | $90,632 | $75,225 | 7659% |
| St Lukes Hospital Easton Campus , PA | $90,632 | $75,225 | 7659% |
| St Lukes Hospital Lehighton Campus , PA | $90,632 | $75,225 | 7659% |
| St Lukes Hospital Monroe Campus , PA | $90,632 | $75,225 | 7659% |
| St Lukes Hospital Sacred Heart Campus , PA | $90,632 | $75,225 | 7659% |
| Children's Hospital of Philadelphia , PA | $67,874 | — | 5130% |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) , FL | — | — | 3154% |
| UAB St. Vincent's Birmingham , AL | $34,585 | — | 2861% |
| PINEWOOD SPRINGS Columbia, TN | — | — | 2556% |
| Benson Hospital Benson, AZ | — | — | 2533% |
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About CPT 92986
CPT code 92986 refers to “Revision of aortic valve”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,168 in a facility (hospital or ambulatory surgery center) and $1,168in 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.