Price Checker / CPT 92990
CPT 92990 — Revision of pulmonary valve
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$966
What Medicare pays in a hospital/ASC setting
$966
What Medicare pays in a physician's office
$33,395
Based on 24 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 92990
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 Women and Babies Hospital Lancaster, PA | $20,870 | — | 12459% |
| Norton Audubon Hospital , KY | $56,032 | $11,206 | 5701% |
| Norton Brownsboro Hospital , KY | $56,032 | $11,206 | 5701% |
| Norton Hospital , KY | $56,032 | $11,206 | 5701% |
| "Norton Women's & Children's Hospital" , KY | $56,032 | $11,206 | 5701% |
| NEMOURS CHILDREN'S HOSPITAL Wilmington, DE | $48,143 | — | 4884% |
| Maimonides Medical Center Brooklyn, NY | $46,848 | — | 4750% |
| Mercy Hospital Springfield , AR | $43,893 | $28,530 | 4444% |
| Mercy Orthopedic Hospital Springfield , AR | $43,893 | $28,530 | 4444% |
| Haywood Regional Medical Center , NC | $35,681 | — | 3594% |
| Jefferson Methodist Hospital Philadelphia, PA | $31,846 | — | 3197% |
| Jefferson Moss-Magee Rehabilitation Hospital – Center City Philadelphia, PA | $31,846 | — | 3197% |
| Thomas Jefferson University Hospital Philadelphia, PA | $31,846 | — | 3197% |
| PINEWOOD SPRINGS Columbia, TN | — | — | 3112% |
| Benson Hospital Benson, AZ | — | — | 3084% |
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About CPT 92990
CPT code 92990 refers to “Revision of pulmonary valve”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $966 in a facility (hospital or ambulatory surgery center) and $966in 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.