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Cost Guide 92920 · Medicine/E&M

How much does Percutaneous cardiac angioplasty of one artery cost?

Medicare pays $389.

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.

4 care settings compared
CMS Medicare benchmark data
Updated 2026-04-03
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Medicare rateAverage chargeHigh end$0$6.3K
$5.7K
Above average
Average hospital charge vs. benchmarks: $389 (Medicare rate) · $5.7K (Average charge)
$389
Medicare rate
$3,628
ASC rate
$5,702
Avg hospital charge
$5,312
Price spread
Rate comparison — Percutaneous cardiac angioplasty of one artery
Non-facility$99Medicare facility$389ASC rate$3.6KHospital outpatient$5.7KAvg chargemaster$5.7K$5.6K difference between lowest and highest rate
Research suggests 49–80% of hospital bills contain errors. Our system checks every line item against Medicare benchmarks.

Cost by care setting

Setting Medicare rate
Hospital outpatient (facility) $389
Physician office (non-facility) $99
Ambulatory surgery center $3,628
Hospital outpatient (APC) $5,702

What affects the cost?

How to save on Percutaneous cardiac angioplasty of one artery

  • 1 Ask about telehealth options — often cheaper and may avoid facility fees
  • 2 Confirm the visit level before scheduling (new vs established patient rates differ)
  • 3 Ask if the visit can be done in-office rather than hospital outpatient
Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — Percutaneous cardiac angioplasty of one artery cost

What is a fair price for Prq cardiac angioplast 1 art?
Medicare pays $389 for Prq cardiac angioplast 1 art (92920). This is the government benchmark rate. A fair price for commercially insured or cash-pay patients is typically 1.2–2.5x the Medicare rate, or roughly $466–$972.
How can I lower my cost for Prq cardiac angioplast 1 art?
To lower your cost: (1) Compare prices at multiple facilities — use the comparison data on this page. (2) Ask about ASC (surgery center) options, which are often 40–60% cheaper. (3) Request cash-pay pricing upfront. (4) After receiving a bill, review each line item against Medicare benchmarks. Research suggests 49–80% of hospital bills contain errors.

Related pricing data

Data: Federal physician fee schedules, hospital payment data, surgery center rates, lab fee schedules, and drug pricing data. FY 2024. All publicly available from federal sources.

Methodology: Rates shown are national Medicare reimbursement rates by care setting. Price ranges reflect variation across hospitals reporting the same procedure code. Metro prices are averaged from hospital-level chargemaster data reported to CMS.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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