go back

Additional Time Monitoring Donor Lungs On A Machine

Missouri rates for HCPCS 0496T

Continued monitoring and assessment of donor lungs on a perfusion circuit beyond the initial period. The same measurements and assessments are repeated and recorded as the run continues, and each further period of monitoring is counted separately.

Rates data updated July 2026.

How much does Additional Time Monitoring Donor Lungs On A Machine cost?

$316

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $3,162 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 4 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$263$251 to $347
FacilityA hospital or hospital-owned outpatient department$3,162$1,778 to $5,623

How much rates vary

Facilitymedian $3,162 · 10th to 90th $316 to $8,511Professionalmedian $263 · 10th to 90th $214 to $537
$200$500$1K$2K$5K$10Kfacility $3,162professional $263

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
$4,265.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$4,265.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,148.15
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,818.38
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$512.86

Where Missouri sits

The same service costs 19.1 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.

Missouri· 21st of 51

$316

CO $3,311ND $174

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.