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Monitoring Donor Lungs On A Perfusion Machine

South Dakota 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 October 2026.

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

$692

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $759 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$646$363 to $912
FacilityA hospital or hospital-owned outpatient department$759$513 to $891

How much rates vary

Facilitymedian $759 · 10th to 90th $437 to $1,202Professionalmedian $646 · 10th to 90th $295 to $912
$500$1K$2Kfacility $759professional $646

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Medica
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$758.58
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$870.96
Typical High
$912.01
Midlands
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$812.83
Typical High
$912.01

Where South Dakota sits

The same service costs 6.3 times more in Texas than in Pennsylvania. 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.

South Dakota· 8th of 51

$692

TX $1,995PA $316

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.