Updated for 2026 Medicare rates

How much does your procedure cost?

Look up the cost of 7,500+ medical procedures by ZIP code. Free, transparent, powered by official Medicare data.

7,500+ procedures43,000 ZIP codes100% free
Official CMS data112 pricing localitiesUpdated annuallyNo signup required

How It Works

Three steps to transparent medical pricing

1

Enter your ZIP code

Medical costs vary by location. Your ZIP code determines local pricing adjustments based on cost of living.

2

Search a procedure

Type the name of any procedure, test, or visit. We cover over 7,500 CPT codes from the Medicare Fee Schedule.

3

See your cost estimate

Get Medicare rates, private insurance estimates, and self-pay pricing, all adjusted for your specific area.

Popular Procedures

National average Medicare rates (2026). Enter a ZIP code for local pricing.

Frequently Asked Questions

Where does this pricing data come from?

All prices are based on the 2026 Medicare Physician Fee Schedule published by the Centers for Medicare & Medicaid Services (CMS). This is the same data used by hospitals and doctors to set their rates.

Why do prices vary by ZIP code?

Medicare adjusts payments based on local cost of living using Geographic Practice Cost Indices (GPCIs). Areas with higher labor costs, office rents, and malpractice insurance premiums have higher procedure prices.

Are these the actual prices I will pay?

These are Medicare reimbursement rates, which serve as a baseline. Private insurance typically pays 130-200% of Medicare rates, while self-pay/cash prices can vary widely. Always verify costs with your provider and insurance company before any procedure.

What is the difference between office and hospital pricing?

"Office" (non-facility) pricing applies when a procedure is done in a doctor's office or clinic. "Hospital" (facility) pricing applies when done in a hospital or surgical center. Hospital pricing is often lower for the physician fee because the facility charges a separate fee.

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