Price Checker / CPT 92997
CPT 92997 — Pul art balloon repr percut
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$547
What Medicare pays in a hospital/ASC setting
$547
What Medicare pays in a physician's office
$31,403
Based on 40 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 92997
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Denver Health Medical Center Denver, CO | — | — | 18525% |
| Southlake Specialty Hospital LLC Southlake, TX | — | — | 15024% |
| Maimonides Midwood Community Hospital , NY | $51,064 | $51,064 | 9228% |
| Desert Valley Hospital , CA | $48,762 | $17,868 | 8807% |
| "NEMOURS CHILDREN'S HOSPITAL" , DE | $48,143 | $48,143 | 8694% |
| NEMOURS CHILDREN'S HOSPITAL Wilmington, DE | $48,143 | — | 8694% |
| Maimonides Medical Center Brooklyn, NY | $46,848 | — | 8458% |
| "The Children's Hospital of Alabama - Benjamin Russell" , AL | $42,087 | $18,098 | 7588% |
| "The Children's Hospital of Alabama - Children's South" , AL | $42,087 | $18,098 | 7588% |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) , FL | — | — | 6754% |
| "Children's Hospital of Philadelphia" , PA | $32,640 | $32,640 | 5862% |
| Robert Wood Johnson University Hospital Rahway , NJ | $32,547 | — | 5845% |
| Robert Wood Johnson University Hospital Somerset , NJ | $32,547 | — | 5845% |
| Jefferson Methodist Hospital Philadelphia, PA | $31,846 | — | 5717% |
| Jefferson Moss-Magee Rehabilitation Hospital – Center City Philadelphia, PA | $31,846 | — | 5717% |
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About CPT 92997
CPT code 92997 refers to “Pul art balloon repr percut”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $547 in a facility (hospital or ambulatory surgery center) and $547in 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.