Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 39560 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.
Partial Diaphragm Removal, Surgery To Remove A Portion Of The Diaphragm. The Remaining Sections May Be Sewn Together Or Patched With A Muscle Graft.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Mediastinum and Diaphragm |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $758.87 national non-facility rate (2026) · View Medicare rates for 39560 |
| Medicaid Fee Schedule | $597.00 median of the 8 states in the free preview · View Medicaid rates for 39560 |
National average reimbursement for CPT 39560 by major payers:
$996.73
$1,046.98
$1,094.46
$1,290.72
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 39560.
CPT 39560
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Texas International Endoscopy Center, LLC, Texas International Endoscopy Center
$5,554.00Published ratePhysicians Surgery Center Of Tempe, LLC, Physicians Surgery Center Of Tempe
Physicians Surgery Center Of Tempe LLC
$1,064.00Published rateJcmg Surgery Center, Inc.
Jcmg Surgery Center Inc
$786.00Published ratePrinceton Orthopaedic Associates II PA
Princeton Orthopaedic Associates II, P.A.
$450.00Published rateGreen Valley Surgery Center LLC
$100.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 39560 vs. Other Surgical Procedures on the Mediastinum and Diaphragm Codes
The CPT 39560 code is part of the Surgery services used for Surgical Procedures on the Mediastinum and Diaphragm. 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 39560 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 |
|---|---|---|
| 39503-CPT | High | Repair Of A Stomach Hernia, Surgery To Repair A Stomach Hernia. The Protruding Stomach Is Moved Back Into Place And The Opening In The Diaphragm Is Stitched Smaller. Mesh May Be Implanted To Hold The Tissue In Place. |
| 39540-CPT | High | Repair Of Diaphragm Injury, Surgery To Repair A Serious Injury To The Diaphragm That Pushes The Abdominal Contents Up Into The Chest Cavity. The Diaphragm Hole Is Patched Or Stitched Closed. |
| 39560-CPT | Moderate | Partial Diaphragm Removal, Surgery To Remove A Portion Of The Diaphragm. The Remaining Sections May Be Sewn Together Or Patched With A Muscle Graft. |
| 39561-CPT | High | Partial Diaphragm Removal, Surgery To Remove A Portion Of The Diaphragm. The Remaining Sections May Be Sewn Together Or Patched With A Muscle Graft. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 39560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 39560 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 39560) and we'll show you how you compare in 15 minutes or less.