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See a sample rate comparisonHCPCS C8926 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.
Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Transesophageal/Transthoracic Echocardiography |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C8926 |
National average reimbursement for HCPCS C8926 by major payers:
$14.94
$152.18
$1,882.45
$600.00
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HCPCS C8926
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$2,323.76Published rateHospital Service District Of The Parish Of St. Bernard, State Of Louis, St. Bernard Parish Hospital
Hospital Service District Of The Parish Of St Bernard State Of Louis
$1,087.63Published rateProgressive Acute Care Avoyelles, LLC, Avoyelles Hospital
$873.03Published rateSpringhill Medical Services, Inc., Springhill Medical Center
Springhill Medical Services Inc
$585.27Published rateMorehouse General Hospital
$541.21Published rate
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See a sample payer proposalHCPCS C8926 vs. Other Transesophageal/Transthoracic Echocardiography Codes
The HCPCS C8926 code is part of the Outpatient PPS services used for Transesophageal/Transthoracic Echocardiography. 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 C8926 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 |
|---|---|---|
| C8925-HCPCS | Moderate | Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, real time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report |
| C8926-HCPCS | Low | Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report |
| C8927-HCPCS | Low | Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C8926. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C8926 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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