Mag ctrld capsule endoscopy
Magnetic controlled capsule endoscopy costs range from $698 at surgery centers to $938 at hospital outpatient facilities, making it essential to verify your specific charges before treatment.
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
Magnetic controlled capsule endoscopy uses a swallowable camera capsule that can be remotely steered through the digestive tract to examine the stomach and small intestine. This procedure is typically ordered for patients with unexplained gastrointestinal bleeding, suspected Crohn's disease, or other digestive disorders when traditional endoscopy is not suitable. As a Category III CPT code, 0651T may require prior authorization and individual payer review since coverage policies vary significantly across insurance plans.
Non-facility rate
$99
Office setting benchmark
Data sources
4
23 data points
Key insights for CPT 0651T
ASC vs hospital outpatient savings
$239Having this done at an ambulatory surgery center costs $698 vs $938 at a hospital outpatient
What this procedure costs across different settings
The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.
| Setting | Medicare rate | vs lowest |
|---|---|---|
| Non-facility (office) | $99 | Lowest |
| Outpatient (APC) | $938 | +847% |
| Ambulatory surgery (ASC) | $698 | +605% |
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About this data
Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).
This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.
Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.
Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.
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