Price Checker / CPT 99478
CPT 99478 — "Sbsq ic vlbw inf<1
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$116
What Medicare pays in a hospital/ASC setting
$6
What Medicare pays in a physician's office
$9,825
Based on 11 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 99478
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Essentia Health-Duluth (Miller-Dwan Building) , MN | — | — | 12510% |
| Essentia Health-Fargo , ND | — | — | 12510% |
| Cullman Regional Medical Center , AL | — | — | 10033% |
| "Essentia Health St. Mary's-Detroit Lakes" , MN | — | — | 7458% |
| Essentia Health-Ada , MN | — | — | 7092% |
| Essentia Health-Deer River , MN | — | — | 7092% |
| Essentia Health-Fosston , MN | — | — | 7092% |
| Essentia Health-Holy Trinity Hospital (Graceville) , MN | — | — | 7092% |
| Essentia Health-Northern Pines (Aurora) , MN | — | — | 7092% |
| Essentia Health-Sandstone , MN | — | — | 7092% |
| "Essentia Health St. Mary's Hospital-Superior" , WI | — | — | 7092% |
Were you billed for this procedure?
Upload your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free, 60 seconds.
About CPT 99478
CPT code 99478 refers to “"Sbsq ic vlbw inf<1”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $116 in a facility (hospital or ambulatory surgery center) and $6in 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.