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What Medicare Pays for Common Procedures in 2026

Verified against Medicare’s Procedure Price Lookup on July 29, 2026.

For every procedure below, Medicare publishes a national average total, split into the doctor’s fee and the facility’s fee, separately for an ambulatory surgery center and a hospital outpatient department. In all 9 cases the doctor’s fee is identical in both settings — the entire difference in the total is the building.

These are Medicare’s rates, not cash prices and not commercial negotiated rates. They are the most useful public floor to reason from, because they are the only prices for these procedures that are published nationally, dated, and free to check.

ProcedureCPTSurgery centerHospital outpatient
Cataract Surgery66984$1,717$2,819
Upper Endoscopy (EGD)43235$607$1,036
Knee Arthroscopy29881$2,159$3,857
Gallbladder Removal47562$3,661$6,807
Inguinal Hernia Repair49505$2,252$4,165
Appendectomy44970$3,608$6,754
CT Scan of the Abdomen and Pelvis74177$492$656
Head CT Scan70450$163$212
Chest X-Ray71046$55$121

Totals include the doctor fee and the facility fee. Source: Medicare.gov Procedure Price Lookup, retrieved July 29, 2026; national averages based on Medicare’s 2026 payments and copayments.

Why we built 9 of these and not thirty

Every procedure on this list is one where we could read the figure off a dated, named, primary source and check it for internal consistency — the doctor fee matching across both settings, and the doctor fee plus facility fee adding to the published total. Procedures we could not verify that way are not here. We would rather publish nine pages you can check than thirty you cannot.

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General information about medical billing, not medical, legal, or financial advice. Medicare’s published national averages are rounded and will differ from the rates in your region and from the rates that apply if you are not a Medicare beneficiary. CPT® is a registered trademark of the American Medical Association.