What is the standard insurance baseline for CPT 49452?

The standard insurance baseline reimbursement rate is $129.76. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Replacement of Stomach-to-small Bowel Tube using Fluoroscopic Guidance with Contrast

CPT 49452Medical Service

Replacement of Stomach-to-small Bowel Tube using Fluoroscopic Guidance with Contrast

Q: What do doctors typically charge for Replacement of Stomach-to-small Bowel Tube using Fluoroscopic Guidance with Contrast?

The nationwide median physician charge for Replacement of Stomach-to-small Bowel Tube using Fluoroscopic Guidance with Contrast (CPT 49452) is $434.00. Doctor billed charges vary based on geographic region, setting, and overhead.

Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast. Clinical pricing breakdown and utilization metrics across 61 practicing doctors nationwide.

$434.00

Peer Median Charge

Gross billed rate

$129.76

Standard Baseline

Customary allowable

3.3x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT 49452?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Calculate Bundled Cost →Dispute an Inflated Bill 🧾

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $434.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $129.76 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 49452 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"