Price Checker / CPT 95801
CPT 95801 — Slp stdy unatnd w/anal
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$104
What Medicare pays in a hospital/ASC setting
$104
What Medicare pays in a physician's office
$3,443
Based on 13 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 95801
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Atrium Health Navicent Peach , GA | — | — | 6097% |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) , IL | — | — | 3729% |
| Ascension Alexian Brothers (Alexian Brothers Medical Center) , IL | — | — | 3591% |
| Ascension Alexian Brothers Behavioral Health Hospital , IL | — | — | 3591% |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) , IL | — | — | 3591% |
| Ascension Saint Alexius (Ascension St. Alexius Medical Center) , IL | — | — | 3591% |
| "Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center)" , IL | — | — | 3591% |
| Ascension SE Wisconsin Hospital - Elmbrook Campus , WI | — | — | 3447% |
| Ascension SE Wisconsin Hospital - Franklin Campus , WI | — | — | 3447% |
| Ascension SE Wisconsin Hospital - St. Joseph Campus , WI | — | — | 3447% |
| Midwest Orthopedic Specialty Hospital , WI | — | — | 3447% |
| Ascension Saint Thomas Highlands , TN | — | — | 112% |
| Ascension Saint Thomas River Park , TN | — | — | 112% |
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About CPT 95801
CPT code 95801 refers to “Slp stdy unatnd w/anal”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $104 in a facility (hospital or ambulatory surgery center) and $104in 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.