Price Checker / CPT 93581
CPT 93581 — Transcath closure of vsd
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$1,146
What Medicare pays in a hospital/ASC setting
$1,146
What Medicare pays in a physician's office
$38,226
Based on 79 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 93581
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Mosaic Life Care at St Joseph St. Joseph, MO | $62,000 | — | 9533% |
| Mosaic Life Care Long Term Acute Care Hospital St. Joseph, MO | $62,000 | — | 9533% |
| Lincoln Health Damariscotta, ME | — | — | 9275% |
| San Gabriel Valley Medical Center , CA | $18,461 | — | 7925% |
| Benson Hospital , AZ | — | — | 7891% |
| Benson Hospital Benson, AZ | — | — | 7891% |
| Waldo County General Hospital Belfast, ME | — | — | 7601% |
| Maimonides Midwood Community Hospital , NY | $83,930 | $83,930 | 7226% |
| Mercy Gilbert Medical Center Gilbert, AZ | $49,198 | — | 7173% |
| Stephens Memorial Hospital Norway, ME | — | — | 7111% |
| Shasta Regional Medical Center , CA | $79,670 | $28,481 | 6854% |
| Maimonides Medical Center Brooklyn, NY | $77,000 | — | 6621% |
| Banner Desert Medical Center Mesa, AZ | $16,516 | — | 6491% |
| "Children's Hospital of Philadelphia" , PA | $68,209 | $68,209 | 5854% |
| Banner University Medical Center South Tucson, AZ | $35,621 | — | 5523% |
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About CPT 93581
CPT code 93581 refers to “Transcath closure of vsd”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,146 in a facility (hospital or ambulatory surgery center) and $1,146in 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.