What is the standard insurance baseline for CPT 33952?

The standard insurance baseline reimbursement rate is $373.87. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Insertion of Tube Through the Skin for Ecmo External Blood Circulation in Heart and Lungs using a Pump 6 Years or Older

CPT 33952Medical Service

Insertion of Tube Through the Skin for Ecmo External Blood Circulation in Heart and Lungs using a Pump 6 Years or Older

Q: What do doctors typically charge for Insertion of Tube Through the Skin for Ecmo External Blood Circulation in Heart and Lungs using a Pump 6 Years or Older?

The nationwide median physician charge for Insertion of Tube Through the Skin for Ecmo External Blood Circulation in Heart and Lungs using a Pump 6 Years or Older (CPT 33952) is $1393.00. Doctor billed charges vary based on geographic region, setting, and overhead.

Insertion of tube through the skin for ecmo external blood circulation in heart and lungs using a pump (6 years or older). Clinical pricing breakdown and utilization metrics across 1 practicing doctors nationwide.

$1393.00

Peer Median Charge

Gross billed rate

$373.87

Standard Baseline

Customary allowable

3.7x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $1393.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $373.87 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 33952 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"