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See a sample rate comparisonCPT 38228 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Immune Cell Therapy, Immune Cell Therapy Done To Treat Various Cancers. Blood Is Drawn And The T Cells Are Separated Out And Then Genetically Engineered To Produce Receptors.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $318.98 national non-facility rate (2026) · View Medicare rates for 38228 |
| Medicaid Fee Schedule | $252.26 median of the 8 states in the free preview · View Medicaid rates for 38228 |
National average reimbursement for CPT 38228 by major payers:
$281.67
$244.44
$183.98
$292.50
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CPT 38228
5 of 25 sample ratesHigher to lower in this preview
Los Gatos Surgical Center, A California Limited Partnership, Endoscopy Center Of Silicon Valley
$2,737.00Published rateGlen Echo Surgery Center, LLC
Glen Echo Surgery Center LLC
$1,064.00Published ratePacific Cataract And Laser Institute Inc PC
Pacific Cataract And Laser Institute, Inc., PC
$624.00Published rateEndoscopy Center At Ridge Plaza Lp, Endoscopy Center At Medpoint
Endoscopy Center At Med Point
$410.00Published rateCottonwood Day Surgery Center
Cottonwood Day Surgery Center, Inc.
$100.00Published rate
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See a sample payer proposalCPT 38228 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38228 code is part of the Surgery services used for Surgical Procedures on the Hemic and Lymphatic Systems. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 38228 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 38228-CPT | Moderate | Immune Cell Therapy, Immune Cell Therapy Done To Treat Various Cancers. Blood Is Drawn And The T Cells Are Separated Out And Then Genetically Engineered To Produce Receptors. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38228. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38228 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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