Price AtlasInteractive atlas · All states · techysurgeon.comWhat the whole capsule endoscopy costs
Swallowing a camera pill to photograph the small bowel. Every bill that usually comes with it, who sends it, and where each number comes from.
Price it for your ZIP, hospital or insurerRates by insurer
Medicare, national amounts, 2026
| Bill | Hospital outpatient |
|---|---|
| Facility | $927 |
| Surgeon | $118 |
| Before surgery (typical) | $177 |
| Total | $1,222 |
National Medicare amounts (payment-area and wage adjustments at 1.0). Facility: OPPS Addendum B, July 2026 (national unadjusted rate); local = rate × (0.6 × wage index + 0.4); ASC Addendum AA, July 2026 (national rate); local = rate × (0.5 × wage index + 0.5); device-intensive (J8) codes keep the device portion unadjusted; FY 2026 IPPS final rule CMS-1833-F, Table 5; standard amounts from Tables 1A-1E; local = weight × (labor × wage index + non-labor + capital × wage index^0.6848). Leaves out teaching (IME), safety-net (DSH) and outlier add-ons. Surgeon: CMS Physician Fee Schedule CY2026 (RVU26D). Anesthesia: CMS base units × the CY2026 anesthesia conversion factor, with an assumed case time. An educational estimate, not a quote.
Line by line (hospital outpatient)
- Hospital outpatient facility fee, APC 5301: $927. Billed by The hospital. CMS OPPS Addendum B, July 2026: APC 5301, status T, national rate $926.63
- Surgeon, CPT 91110-26: $118. Billed by The surgeon's group. CMS Physician Fee Schedule CY2026 (RVU26D, Oct 2026 release), facility rate, PFS locality national (GPCI 1.0)
- Consultation visit (new patient): $177. Billed by The surgeon's group. CMS PFS CY2026 (RVU26D), non-facility (office) rate, CPT 99204
Questions
How much does a capsule endoscopy cost in total, with every bill?
At national Medicare rates for 2026, the whole capsule endoscopy comes to about $1,222 in a hospital outpatient, counting the facility, the surgeon and typical care before and after. Commercial plans usually pay more; local rates differ by area.
Why do I get separate bills for a capsule endoscopy?
The hospital bills for the facility; the surgeon's group bills for the operation (Surgeon, CPT 91110-26, about $118 from Medicare nationally); labs, imaging, pathology and therapy each come from their own provider.
What does the surgeon's fee include?
No global period.