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Monitoring Donor Lungs On A Perfusion Machine

North Carolina rates for HCPCS 0495T

A clinician starts up and then monitors a circuit that keeps donor lungs warm, ventilated and perfused outside the body, assessing how well they work. Pressures, flows, gas exchange and lung stiffness are measured and recorded, and examinations such as a scope inspection of the airways or an X-ray may be done as part of the assessment. This covers the initial period of that monitoring.

Rates data updated July 2026.

How much does Monitoring Donor Lungs On A Perfusion Machine cost?

$363

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $1,288 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$363$316 to $537
FacilityA hospital or hospital-owned outpatient department$1,288$316 to $5,248

How much rates vary

Facilitymedian $1,288 · 10th to 90th $316 to $8,710Professionalmedian $363 · 10th to 90th $309 to $851
$200$500$1K$2K$5K$10Kfacility $1,288professional $363

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$1,659.59
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$933.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$758.58
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$2,754.23

Where North Carolina sits

The same service costs 14.8 times more in Colorado than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 33rd of 51

$363

CO $3,311ND $224

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.