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 93583 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.
Reduce Excess Heart Tissue, A Procedure Usually Done To Treat Hypertrophic Cardiomyopathy (Hcm). Alcohol Septal Ablation Reduces The Amount Of Excess Tissue In Order To Let Blood Flow More Freely From The Heart. A Pacemaker May Be Temporarily Inserted During The Procedure.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | $640.96 national non-facility rate (2026) · View Medicare rates for 93583 |
| Medicaid Fee Schedule | $498.725 median of the 8 states in the free preview · View Medicaid rates for 93583 |
National average reimbursement for CPT 93583 by major payers:
$1,037.67
$1,019.20
$995.88
$1,198.54
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 93583.
CPT 93583
5 of 25 sample ratesHigher to lower in this preview
Aurora Health Care Southern Lakes, Inc., Aurora Medical Center Burlington
Aurora Health Care Inc
$19,003.00Published rateLoyola University Medical Center, Loyola University Medical Center Cancer Center
Loyola University Medical Center
$6,127.00Published rateHealth Care Authority For Baptist Health An Affiliate Of Uabhs, Baptist Medical Center East
The Health Care Authority For Baptist Health, An Aff Of Uab Hlth Systm
$3,623.00Published rateSmsj Tucson Holdings LLC, St. Marys Hospital
$2,071.00Published rateSt. Helena Parish Hospital
St Helena Parish Hospital
$341.00Published 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 93583 vs. Other Cardiovascular Procedures Codes
The CPT 93583 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. 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 93583 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 |
|---|---|---|
| 93580-CPT | High | Transcath Closure Of Asd, Percutaneous Transcatheter Closure Of Congenital Interatrial Communication Ie Fontan Fenestration Atrial Septal Defect With Implant |
| 93581-CPT | High | Percutaneous Transcatheter Closure Of Congenital Ventricular Septal Defect W/Implant - Dos<01/01/14 Elig Dx=42971,7452,7454,7457-7459:Others=rn Review |
| 93582-CPT | Moderate | Repair Blood Vessel In Heart, Patent Ductus Arteriosus (Pda) Is A Congenital Disorder In Which A Blood Vessel In The Heart Fails To Close After Birth. This Procedure Closes The Blood Vessel. |
| 93583-CPT | High | Reduce Excess Heart Tissue, A Procedure Usually Done To Treat Hypertrophic Cardiomyopathy (Hcm). Alcohol Septal Ablation Reduces The Amount Of Excess Tissue In Order To Let Blood Flow More Freely From The Heart. A Pacemaker May Be Temporarily Inserted During The Procedure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93583 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 93583) and we'll show you how you compare in 15 minutes or less.