Price Checker / CPT 93260
How much does Prgrmg Dev Evaluation Impltbl Sys cost?
CPT 93260 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 114x the fair price — among the most extreme markups. Dispute this.
Fair price
$170–$200
What this should cost
With insurance
~$850
Typical out-of-pocket
Overcharged if over
$250
Push back above this
The average hospital charge of $21,638 is $21,448 over the fair price (about 114x the fair rate).
What hospitals charge for Prgrmg Dev Evaluation Impltbl Sys
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "Children's Hospital of Michigan" DETROIT, MI | — | — | 28563% |
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 Prgrmg Dev Evaluation Impltbl Sys
CPT code 93260 refers to prgrmg dev evaluation impltbl sys (billing description: "Prgrmg dev eval impltbl sys"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $75 in a facility (hospital or surgery center) and $75 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.