Price Checker / CPT 93580
CPT 93580 — Transcath closure of asd
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$844
What Medicare pays in a hospital/ASC setting
$844
What Medicare pays in a physician's office
$47,694
Based on 197 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 93580
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 Flint , MI | $133,604 | $66,802 | 15729% |
| Baptist Health Brookwood Hospital , AL | $118,561 | $88,921 | 13947% |
| Albany Medical Center Albany, NY | $137,481 | — | 13745% |
| Carondelet Marana Hospital , AZ | $112,856 | $84,642 | 13271% |
| "St. Joseph's Hospital" , AZ | $112,856 | $84,642 | 13271% |
| "St. Mary's Hospital" , AZ | $112,856 | $84,642 | 13271% |
| Lincoln Health Damariscotta, ME | — | — | 12624% |
| Astria Sunnyside Hospital , WA | $106,152 | $60,613 | 12477% |
| Baptist Health Shelby Hospital , AL | $102,478 | $76,859 | 12041% |
| Geisinger South Wilkes Barre , PA | $102,023 | $63,254 | 11987% |
| Geisinger South Wilkes Barre Wilkes-Barre, PA | $102,023 | — | 11987% |
| Newport Medical Center Newport, TN | $100,000 | — | 11748% |
| Saint Francis Hospital - Memphis , TN | $97,546 | $73,160 | 11457% |
| Baptist Health Princeton Hospital , AL | $96,698 | $72,524 | 11357% |
| Northern Light Eastern Maine Medical Center Bangor, ME | $110,882 | — | 11085% |
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About CPT 93580
CPT code 93580 refers to “Transcath closure of asd”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $844 in a facility (hospital or ambulatory surgery center) and $844in 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.