Medicare Reimbursement for CPT 22548

CPT 22548 is a surgical procedure code reported to Medicare for payment. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount at the national level and, where available, by locality, with separate figures for non-facility and facility settings. These figures reflect the total allowed amount before any patient cost-sharing is applied.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$1943.60	$1943.60
ALASKA* (AK)	$2261.79	$2261.79
ALABAMA (AL)	$1695.71	$1695.71
ARKANSAS (AR)	$1665.68	$1665.68
ARIZONA (AZ)	$1868.58	$1868.58
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$2096.09	$2096.09
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$2120.96	$2120.96
OXNARD-THOUSAND OAKS-VENTURA (CA)	$1953.46	$1953.46
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$1980.87	$1980.87
NAPA (CA)	$2035.32	$2035.32
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$2108.75	$2108.75
VALLEJO (CA)	$2017.07	$2017.07
BAKERSFIELD (CA)	$1880.97	$1880.97
CHICO (CA)	$1852.02	$1852.02
FRESNO (CA)	$1852.02	$1852.02
HANFORD-CORCORAN (CA)	$1852.02	$1852.02
MADERA (CA)	$1852.02	$1852.02
MERCED (CA)	$1852.02	$1852.02
MODESTO (CA)	$1852.02	$1852.02
REDDING (CA)	$1852.02	$1852.02
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$1970.96	$1970.96
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$1915.00	$1915.00
SALINAS (CA)	$1907.83	$1907.83
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$2172.73	$2172.73
SANTA CRUZ-WATSONVILLE (CA)	$1937.66	$1937.66
SANTA ROSA-PETALUMA (CA)	$1954.56	$1954.56
STOCKTON (CA)	$1852.02	$1852.02
VISALIA (CA)	$1852.02	$1852.02
YUBA CITY (CA)	$1852.02	$1852.02
EL CENTRO (CA)	$1853.88	$1853.88
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$1934.72	$1934.72
SAN LUIS OBISPO-PASO ROBLES (CA)	$1881.69	$1881.69
SANTA MARIA-SANTA BARBARA (CA)	$1910.02	$1910.02
REST OF CALIFORNIA (CA)	$1852.02	$1852.02
COLORADO (CO)	$1916.78	$1916.78
CONNECTICUT (CT)	$2092.56	$2092.56
DC + MD/VA SUBURBS (DC)	$2156.09	$2156.09
DELAWARE (DE)	$1902.11	$1902.11
FORT LAUDERDALE (FL)	$2253.48	$2253.48
MIAMI (FL)	$2541.32	$2541.32
REST OF FLORIDA (FL)	$2100.56	$2100.56
ATLANTA (GA)	$2032.14	$2032.14
REST OF GEORGIA (GA)	$1940.58	$1940.58
HAWAII, GUAM (HI)	$1881.35	$1881.35
IOWA (IA)	$1660.37	$1660.37
IDAHO (ID)	$1692.13	$1692.13
EAST ST. LOUIS (IL)	$2266.03	$2266.03
SUBURBAN CHICAGO (IL)	$2255.91	$2255.91
CHICAGO (IL)	$2435.50	$2435.50
REST OF ILLINOIS (IL)	$2093.24	$2093.24
INDIANA (IN)	$1701.80	$1701.80
KANSAS (KS)	$1692.63	$1692.63
KENTUCKY (KY)	$1835.35	$1835.35
NEW ORLEANS (LA)	$1953.53	$1953.53
REST OF LOUISIANA (LA)	$1848.60	$1848.60
METROPOLITAN BOSTON (MA)	$2072.63	$2072.63
REST OF MASSACHUSETTS (MA)	$1918.67	$1918.67
BALTIMORE/SURR. CNTYS (MD)	$2096.33	$2096.33
REST OF MARYLAND (MD)	$1930.15	$1930.15
SOUTHERN MAINE (ME)	$1799.96	$1799.96
REST OF MAINE (ME)	$1747.62	$1747.62
DETROIT (MI)	$2174.93	$2174.93
REST OF MICHIGAN (MI)	$1931.61	$1931.61
MINNESOTA (MN)	$1701.43	$1701.43
METROPOLITAN ST. LOUIS (MO)	$1911.22	$1911.22
METROPOLITAN KANSAS CITY (MO)	$1892.94	$1892.94
REST OF MISSOURI (MO)	$1838.69	$1838.69
MISSISSIPPI (MS)	$1750.48	$1750.48
MONTANA** (MT)	$1942.85	$1942.85
NORTH CAROLINA (NC)	$1762.92	$1762.92
NORTH DAKOTA** (ND)	$1722.38	$1722.38
NEBRASKA (NE)	$1658.82	$1658.82
NEW HAMPSHIRE (NH)	$1925.34	$1925.34
NORTHERN NJ (NJ)	$2134.84	$2134.84
REST OF NEW JERSEY (NJ)	$2078.45	$2078.45
NEW MEXICO (NM)	$1961.18	$1961.18
NEVADA** (NV)	$1882.09	$1882.09
MANHATTAN (NY)	$2330.02	$2330.02
NYC SUBURBS/LONG ISLAND (NY)	$2449.58	$2449.58
POUGHKPSIE/N NYC SUBURBS (NY)	$2127.01	$2127.01
QUEENS (NY)	$2290.19	$2290.19
REST OF NEW YORK (NY)	$1798.49	$1798.49
OHIO (OH)	$1886.54	$1886.54
OKLAHOMA (OK)	$1786.71	$1786.71
PORTLAND (OR)	$1938.95	$1938.95
REST OF OREGON (OR)	$1830.23	$1830.23
METROPOLITAN PHILADELPHIA (PA)	$2059.63	$2059.63
REST OF PENNSYLVANIA (PA)	$1866.53	$1866.53
PUERTO RICO (PR)	$1945.60	$1945.60
RHODE ISLAND (RI)	$1942.89	$1942.89
SOUTH CAROLINA (SC)	$1835.29	$1835.29
SOUTH DAKOTA** (SD)	$1696.31	$1696.31
TENNESSEE (TN)	$1708.37	$1708.37
BRAZORIA (TX)	$1862.50	$1862.50
DALLAS (TX)	$1895.88	$1895.88
GALVESTON (TX)	$1881.76	$1881.76
HOUSTON (TX)	$2085.85	$2085.85
BEAUMONT (TX)	$1855.05	$1855.05
FORT WORTH (TX)	$1893.83	$1893.83
AUSTIN (TX)	$1942.93	$1942.93
REST OF TEXAS (TX)	$1872.28	$1872.28
UTAH (UT)	$1864.21	$1864.21
VIRGINIA (VA)	$1822.38	$1822.38
VIRGIN ISLANDS (VI)	$1945.60	$1945.60
VERMONT (VT)	$1752.72	$1752.72
SEATTLE (KING CNTY) (WA)	$2076.15	$2076.15
REST OF WASHINGTON (WA)	$1902.62	$1902.62
WISCONSIN (WI)	$1656.90	$1656.90
WEST VIRGINIA (WV)	$2013.71	$2013.71
WYOMING** (WY)	$1846.77	$1846.77

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare's Physician Fee Schedule amount for a code is built from three Relative Value Units (RVUs): physician work, practice expense, and malpractice. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) values for the specific locality where the service is furnished, accounting for regional cost differences. The locality-adjusted RVUs are summed and then multiplied by the annual national conversion factor to produce the dollar amount. Non-facility and facility rates differ mainly in the practice-expense RVU, since non-facility settings assume the practice bears more of the overhead (equipment, staff, supplies), while facility settings assume the hospital or facility absorbs more of that cost.

RVUs — work 26.38, practice expense 20.66 (non-facility) / 20.66 (facility), malpractice 11.15 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment — actual reimbursement depends on claim-specific factors.
Medicare typically pays 80% of the allowed amount after the patient meets the annual Part B deductible; the patient or secondary payer is responsible for the remainder.
Modifiers, multiple-procedure reductions, bilateral adjustments, sequestration, and annual budget-neutrality adjustments can all change the final paid amount.
Locality-specific GPCI values can shift the amount up or down from the national figure shown here.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC) before billing.

Frequently asked

Why does the amount for this code differ between facility and non-facility settings?

The practice-expense RVU component is typically different for facility versus non-facility settings because the overhead costs (staff, equipment, supplies) are allocated differently depending on where the service is performed.

Will my locality's payment match the national amount shown?

Not necessarily. The national amount is adjusted using locality-specific GPCI values, so the actual allowed amount in a given area can be higher or lower than the national figure.

Does this amount represent what Medicare actually pays?

No. The figure shown is the total allowed amount. Medicare generally pays 80% of this after the deductible is met, with the remaining portion owed by the beneficiary or secondary insurance.

Can modifiers or other claim details change this amount?

Yes. Modifiers, multiple-procedure rules, bilateral surgery adjustments, and other claim-specific factors can increase or decrease the final reimbursement from the base fee schedule amount.

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Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.