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See a sample rate comparisonCPT 00790 Fee Schedule
CPT 00790 is classified under Anesthesia, in the Anesthesia for Procedures on the Upper Abdomen subgroup.
Anesthesia Abdomen Procedure, Anesthesia Services For A Procedure Involving Any Structure On The Interior Of The Abdomen. This Includes Scope-Assisted (Laparoscope) Procedures.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Upper Abdomen |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | AA - Anesthesia by anesthesiologist P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00790 |
National average anesthesia conversion factor for CPT 00790 by major payers:
$60.49
BCBS / Anthem
$71.63
UnitedHealthcare
$65.86
Aetna
$54.74
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 00790.
CPT 00790
5 of 25 sample ratesHigher to lower in this preview
Natale Naim
$121.22Published rateSeetal Preet Cheema
$99.00Published rateThomas Anderson
$70.00Published rateBenjamin Ho
$56.00Published rateAhmed Shalabi
Cedars-Sinai Medical Care Foundation
$35.00Published rate
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See a sample payer proposalCPT 00790 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes
The table lists codes related to 00790. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00752-CPT | Moderate | Anesthesia For Hernia Repair, Anesthesia Services For Surgery To Repair A Hernia. Hernias Occur When Organs Or Other Structures Bulge Through Containing Tissue Into Other Areas. Common Types Include Incisional Hernias (Through A Surgical Scar) And Stomach Hernias (Into Upper Abdomen). |
| 00754-CPT | Moderate | Anesthesia For Hernia Repair, Anesthesia Services For Surgery To Repair A Hernia. Hernias Occur When Organs Or Other Structures Bulge Through Containing Tissue Into Other Areas. Common Types Include Incisional Hernias (Through A Surgical Scar) And Stomach Hernias (Into Upper Abdomen). |
| 00756-CPT | Moderate | Anesthesia For Hernia Repair, Anesthesia Services For Surgery To Repair A Hernia. Hernias Occur When Organs Or Other Structures Bulge Through Containing Tissue Into Other Areas. Common Types Include Incisional Hernias (Through A Surgical Scar) And Stomach Hernias (Into Upper Abdomen). |
| 00790-CPT | Moderate | Anesthesia Abdomen Procedure, Anesthesia Services For A Procedure Involving Any Structure On The Interior Of The Abdomen. This Includes Scope-Assisted (Laparoscope) Procedures. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00790 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To get an estimate for a medical procedure, you can contact your insurance provider directly or the healthcare facility where you plan to receive care. For specific price lookups based on CPT code and your location, you can utilize tools like Payerprice, which offers a fee schedule lookup tool. This can help you understand potential costs before your procedure.
CPT (Current Procedural Terminology) codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are crucial for billing and insurance purposes, as they determine how services are reported and subsequently reimbursed by insurance companies. Each CPT code corresponds to a specific service or procedure, and understanding them can help you decipher your medical bills.
To look up specific healthcare prices for procedures based on CPT codes and your location, you can use specialized tools. Payerprice offers a fee schedule lookup tool that allows users to search for prices by CPT code and geographic location. This can provide valuable insights into expected costs in your area.
Healthcare prices can vary significantly for the same procedure due to several factors, including the type of facility (hospital vs. outpatient clinic), geographic location, the provider's specific negotiated rates with different insurance companies, the complexity of the patient's case, and whether the provider is in-network or out-of-network. Transparency tools like Payerprice can help you compare prices and understand these variations.
If you receive a medical bill that you don't understand, the first step is to contact your healthcare provider's billing department for clarification. You should also compare the bill with your Explanation of Benefits (EOB) from your insurance company. If you're questioning the fairness of the price, you can research typical costs for the CPT codes listed on your bill using tools like Payerprice for your specific location. If discrepancies persist, you can contact your insurance company for assistance.