Price Checker / CPT 95972
How much does Alys Cplx Sp/pn Npgt W/prgrm cost?
CPT 95972 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 85x the fair price — among the most extreme markups. Dispute this.
Fair price
$90–$180
What this should cost
With insurance
~$211,200
Typical out-of-pocket
Overcharged if over
$230
Push back above this
The average hospital charge of $11,869 is $11,729 over the fair price (about 85x the fair rate).
What hospitals charge for Alys Cplx Sp/pn Npgt W/prgrm
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Jennie M Melham Memorial Medical Center BROKEN BOW, NE | $31,803 | — | 53091% |
| UPMC Wellsboro WELLSBORO, PA | $2,101 | $1,681 | 3414% |
| Pemiscot Memorial Health Systems , MO | $1,702 | $1,191 | 2747% |
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 Alys Cplx Sp/pn Npgt W/prgrm
CPT code 95972 refers to alys cplx sp/pn npgt w/prgrm (billing description: "Alys cplx sp/pn npgt w/prgrm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $35 in a facility (hospital or surgery center) and $60 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.