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 48105 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Resct Or Debrideme Of Pancreas & Peripancreatic Tissue For Acu, Resection Or Debridement Of Pancreas And Peripancreatic Tissue For Acu
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 48105 |
| Medicaid Fee Schedule | View Medicaid rates for 48105 |
National average reimbursement for CPT 48105 by major payers:
$3,442.61
$3,785.59
$3,951.52
$4,533.15
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 48105.
CPT 48105
5 of 25 sample ratesHigher to lower in this preview
Dublin Surgery Center LLC
$12,881.00Published rateChannel Islands Surgicenter Lp
$1,262.00Published rateDigestive Health Center LLC
$840.00Published rateAdvanced Surgery Center Of Oxford
Oxford Surgery Center
$397.00Published rateWinter Haven Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center
$50.00Published 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 48105 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48105 code is part of the Surgery services used for Surgical Procedures on the Digestive System. 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 48105 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 |
|---|---|---|
| 48001-CPT | High | Pancreas Surgery For Drainage, Surgery On The Pancreas To Place Drains To Help With Inflammation (Pancreatitis). The Procedure Can Involve The Bile Ducts Stomach And Small Intestine. |
| 48100-CPT | High | Pancreas Biopsy, A Procedure To Remove A Sample Of Tissue From The Pancreas For Testing (Biopsy). The Sample May Be Taken In A Surgery Or With A Needle. |
| 48105-CPT | High | Resct Or Debrideme Of Pancreas & Peripancreatic Tissue For Acu, Resection Or Debridement Of Pancreas And Peripancreatic Tissue For Acu |
| 48120-CPT | High | Excision Lesion Pancreas-Cyst, Adenoma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 48105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48105 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 48105) and we'll show you how you compare in 15 minutes or less.