PayPredict Rates in effect today:Today: 2026 Medicare PFS · RVU26D

San Jose Inpatient MD

Quick price Edit

Locality: San Jose Sunnyvale Santa Clara (Santa Clara Cnty), CA (01112-09); GPCI work 1.11 · PE 1.442 · MP 0.397
Setting · provider: Facility rates; Physician
Payer: Traditional Medicare at 100% of Medicare; Standard conversion factor
Date of service · fee schedule: Today; 2026 Medicare PFS · RVU26D, CF $33.4009

Packages in this scenario

Package	Fee schedule	Rules	Allowed	Medicare pays	Patient owes	Before billing
2-Limb EMG 5+ musc with 13+ NCS 2 lines paid $0	$0.00	—	$0.00 Medicare $0.00	$0.00	$0.00	2 lines paid $0
Angiogram 2 items to resolve 2 lines paid $0	$1,366.32	−$1,366.32	$0.00 Medicare $0.00	$0.00	$0.00	2 items to resolve 2 lines paid $0
Bilateral Wada Test 4 items to resolve 4 lines paid $0	$1,945.75	−$1,752.60	$193.15 Medicare $151.43	$151.43	$38.63	4 items to resolve 4 lines paid $0
Extracranail Embolization 3 items to resolve 3 lines paid $0	$2,541.08	−$1,308.15	$1,232.93 Medicare $966.61	$966.61	$246.59	3 items to resolve 3 lines paid $0
Fluoroscopy guided lumbar puncture w/ Sedation Ready	$111.79	—	$111.79 Medicare $87.64	$87.64	$22.36	Ready
Foundational NIR (Dx Angio) 2 items to resolve 2 lines paid $0	$1,366.32	−$1,366.32	$0.00 Medicare $0.00	$0.00	$0.00	2 items to resolve 2 lines paid $0
Initial Consultation Appointment Ready	$131.37	—	$131.37 Medicare $103.00	$103.00	$26.27	Ready
Intracranial Embolization 3 items to resolve 3 lines paid $0	$2,828.46	−$1,308.15	$1,520.31 Medicare $1,191.93	$1,191.93	$304.06	3 items to resolve 3 lines paid $0
Temp Package 2 items to resolve 2 lines paid $0	$1,387.17	−$609.89	$777.28 Medicare $609.38	$609.38	$155.46	2 items to resolve 2 lines paid $0
Temp package (2026) 3 items to resolve 3 lines paid $0	$2,269.21	−$1,476.45	$792.76 Medicare $621.53	$621.53	$158.55	3 items to resolve 3 lines paid $0
Unilateral ECA Embo 2 lines paid $0	$780.62	—	$780.62 Medicare $612.01	$612.01	$156.12	2 lines paid $0
Unilateral Wada Test 1 item to resolve 2 lines paid $0	$946.88	−$240.75	$706.13 Medicare $553.60	$553.60	$141.23	1 item to resolve 2 lines paid $0
Venous sinus stenosis diagnostic 4 items to resolve 5 lines paid $0	$2,230.30	−$1,856.95	$373.35 Medicare $292.71	$292.71	$74.67	4 items to resolve 5 lines paid $0

Priced with 2026 Medicare PFS · RVU26D. "Rules" is what multiple-procedure reductions, NCCI edits, modifiers and the payer rate changed from the full fee schedule.