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Last updated: October 2026CMS rates · Free lookup

Medicare Fee Schedule Lookup

Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, MS-DRG, or NDC code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights and national rates, anesthesia conversion factors, the Clinical Laboratory Fee Schedule, DMEPOS, ambulance, opioid treatment program, and Part D negotiated price data from CMS.

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39545
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Physician Fee Schedule·39545·National·2026, 2025
Current non-facility rate
$872.77▲0.0%
Facility: $872.77
Recent trend
Code description

Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
3954510/2026N/A0000000$872.77$872.77Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.
395457/2026N/A0000000$872.77$872.77Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.
395454/2026N/A0000000$872.77$872.77Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.
395451/2026N/A0000000$872.77$872.77Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.
3954510/2025N/A0000000$868.50$868.50Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.
395457/2025N/A0000000$868.50$868.50Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.
395454/2025N/A0000000$868.50$868.50Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.
395451/2025N/A0000000$868.50$868.50Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size.
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Medicaid comparison

See what state Medicaid programs pay for the same codes

50 state Medicaid agencies publish their own physician fee schedule, and the rate for a single code can differ several times over between them. Rates for 20 common codes, including 99213, 99214, 99203 are free in every state that prices them, with no login.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.