Prq cardiac angioplast 1 art
Percutaneous cardiac angioplasty procedures for single artery blockages range from $389 to $5,702 depending on facility type, making bill verification essential given the potential difference of $5,313 between care settings.
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.
Percutaneous cardiac angioplasty involves inserting a tiny balloon through the skin to open blocked heart arteries, restoring blood flow without major surgery. This procedure is typically performed on patients with coronary artery disease or recent heart attacks. Code 92920 covers single-vessel angioplasty and charges approximately 8.5x the Medicare reimbursement rate of $1,247.
No credit card required. Results in 60 seconds.
Facility rate
$389
National Medicare benchmark
Non-facility rate
$99
Office setting benchmark
Data sources
4
24 data points
Key insights for CPT 92920
ASC vs hospital outpatient savings
$2,073Having this done at an ambulatory surgery center costs $3,628 vs $5,702 at a hospital outpatient
Facility vs office setting
$290 differenceNon-facility setting is less expensive for this procedure
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 |
|---|---|---|
| Facility (physician office) | $389 | +293% |
| Non-facility (office) | $99 | Lowest |
| Outpatient (APC) | $5,702 | +5659% |
| Ambulatory surgery (ASC) | $3,628 | +3565% |
Got a bill with CPT 92920?
Upload your bill and our AI compares every line item against these exact benchmark rates. Free analysis in 60 seconds — you only pay if we find savings.
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.
Related procedures
Related pricing data
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