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See a sample rate comparisonHCPCS C7511 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.
Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Miscellaneous Surgical Procedures |
| Complexity Level | Low |
National average reimbursement for HCPCS C7511 by major payers:
$195.84
$N/A
$5,309.63
$N/A
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HCPCS C7511
5 of 25 sample ratesHigher to lower in this preview
St. Mary'S Hospital, Inc., St. Mary'S Hospital
St Marys Hospital Inc
$9,173.00Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$2,901.00Published rateAdvanced Surgery Center Of Northern Louisiana LLC
Advanced Surgery Center Of Northern Louisiana, LLC
$1,049.00Published rateCrescent View Surgery Center, LLC
$457.00Published rateSouthern Surgical Center, LLC
Southern Surgical Center LLC
$275.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS C7511 vs. Other Miscellaneous Surgical Procedures Codes
The HCPCS C7511 code is part of the Outpatient PPS services used for Miscellaneous Surgical 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 HCPCS C7511 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 |
|---|---|---|
| C7510-HCPCS | Moderate | Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed |
| C7511-HCPCS | Low | Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed |
| C7512-HCPCS | Moderate | Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C7511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C7511 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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