# CPT 38115: Repair of ruptured spleen

Medicare CPT 38115 pays $1,201.76 in a non-facility setting and $1,201.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,057.46 in Wisconsin to $1,491.93 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/38115-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,201.76 |
| National facility | $1,201.76 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,491.93 | $1,491.93 |
| Florida | $1,382.99 | $1,382.99 |
| Illinois | $1,367.61 | $1,367.61 |
| New York | $1,338.55 | $1,338.55 |
| District of Columbia | $1,314.96 | $1,314.96 |
| New Jersey | $1,291.83 | $1,291.83 |
| Connecticut | $1,279.01 | $1,279.01 |
| Michigan | $1,261.12 | $1,261.12 |
| West Virginia | $1,244.66 | $1,244.66 |
| Maryland | $1,238.48 | $1,238.48 |
| Massachusetts | $1,229.20 | $1,229.20 |
| Georgia | $1,226.49 | $1,226.49 |
| Washington | $1,225.89 | $1,225.89 |
| New Mexico | $1,215.22 | $1,215.22 |
| Pennsylvania | $1,215.19 | $1,215.19 |
| Rhode Island | $1,204.60 | $1,204.60 |
| Puerto Rico | $1,202.20 | $1,202.20 |
| Virgin Islands | $1,202.20 | $1,202.20 |
| Montana | $1,201.38 | $1,201.38 |
| California | $1,194.95 | $1,194.95 |
| New Hampshire | $1,190.22 | $1,190.22 |
| Colorado | $1,187.75 | $1,187.75 |
| Texas | $1,187.51 | $1,187.51 |
| Louisiana | $1,184.71 | $1,184.71 |
| Delaware | $1,182.51 | $1,182.51 |
| Ohio | $1,177.28 | $1,177.28 |
| Missouri | $1,174.17 | $1,174.17 |
| Oregon | $1,170.82 | $1,170.82 |
| Nevada | $1,170.27 | $1,170.27 |
| Arizona | $1,165.08 | $1,165.08 |
| Utah | $1,164.41 | $1,164.41 |
| Hawaii | $1,162.57 | $1,162.57 |
| Kentucky | $1,152.40 | $1,152.40 |
| Wyoming | $1,152.26 | $1,152.26 |
| South Carolina | $1,150.49 | $1,150.49 |
| Virginia | $1,140.71 | $1,140.71 |
| Oklahoma | $1,127.32 | $1,127.32 |
| Maine | $1,117.35 | $1,117.35 |
| North Carolina | $1,113.01 | $1,113.01 |
| Mississippi | $1,110.52 | $1,110.52 |
| Vermont | $1,104.72 | $1,104.72 |
| North Dakota | $1,088.68 | $1,088.68 |
| Tennessee | $1,086.41 | $1,086.41 |
| Indiana | $1,082.08 | $1,082.08 |
| Alabama | $1,081.77 | $1,081.77 |
| Kansas | $1,078.64 | $1,078.64 |
| Idaho | $1,077.52 | $1,077.52 |
| Minnesota | $1,076.40 | $1,076.40 |
| South Dakota | $1,075.35 | $1,075.35 |
| Arkansas | $1,067.28 | $1,067.28 |
| Iowa | $1,061.55 | $1,061.55 |
| Nebraska | $1,060.33 | $1,060.33 |
| Wisconsin | $1,057.46 | $1,057.46 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 38115 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules