# CPT 47490: Cholecystostomy, percutaneous, with imaging guidance

Medicare CPT 47490 pays $298.27 in a non-facility setting and $298.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $272.44 in Arkansas to $376.66 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/47490-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $298.27 |
| National facility | $298.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $376.66 | $376.66 |
| District of Columbia | $331.08 | $331.08 |
| New York | $326.17 | $326.17 |
| New Jersey | $323.59 | $323.59 |
| California | $319.60 | $319.60 |
| Washington | $317.47 | $317.47 |
| Massachusetts | $315.80 | $315.80 |
| Connecticut | $314.58 | $314.58 |
| Florida | $314.19 | $314.19 |
| Illinois | $309.44 | $309.44 |
| Hawaii | $308.77 | $308.77 |
| Maryland | $306.95 | $306.95 |
| Colorado | $304.67 | $304.67 |
| Rhode Island | $303.64 | $303.64 |
| Oregon | $301.77 | $301.77 |
| New Hampshire | $301.43 | $301.43 |
| Puerto Rico | $299.42 | $299.42 |
| Virgin Islands | $299.42 | $299.42 |
| Montana | $298.24 | $298.24 |
| Pennsylvania | $298.19 | $298.19 |
| Michigan | $297.20 | $297.20 |
| Texas | $295.99 | $295.99 |
| Georgia | $295.88 | $295.88 |
| Delaware | $295.87 | $295.87 |
| Nevada | $295.66 | $295.66 |
| Wyoming | $294.01 | $294.01 |
| Arizona | $291.98 | $291.98 |
| Virginia | $291.30 | $291.30 |
| New Mexico | $291.03 | $291.03 |
| Minnesota | $290.43 | $290.43 |
| Utah | $288.99 | $288.99 |
| Vermont | $288.92 | $288.92 |
| West Virginia | $288.70 | $288.70 |
| North Dakota | $288.55 | $288.55 |
| Louisiana | $288.00 | $288.00 |
| Missouri | $287.56 | $287.56 |
| South Dakota | $287.40 | $287.40 |
| Ohio | $287.36 | $287.36 |
| Maine | $286.51 | $286.51 |
| South Carolina | $286.17 | $286.17 |
| North Carolina | $283.86 | $283.86 |
| Kentucky | $282.79 | $282.79 |
| Wisconsin | $281.61 | $281.61 |
| Oklahoma | $281.04 | $281.04 |
| Indiana | $280.59 | $280.59 |
| Idaho | $279.49 | $279.49 |
| Tennessee | $279.14 | $279.14 |
| Nebraska | $278.32 | $278.32 |
| Kansas | $277.97 | $277.97 |
| Iowa | $277.61 | $277.61 |
| Mississippi | $276.36 | $276.36 |
| Alabama | $275.30 | $275.30 |
| Arkansas | $272.44 | $272.44 |

## Related codes

- 36901: Introduction of needle/catheter, dialysis circuit, imaging, diagnostic — https://www.med-reveal.com/rates/36901-cpt-fee-schedule
- 36902: Dialysis circuit, transluminal balloon angioplasty — https://www.med-reveal.com/rates/36902-cpt-fee-schedule
- 36905: Dialysis circuit, transluminal balloon angioplasty and thrombectomy — https://www.med-reveal.com/rates/36905-cpt-fee-schedule
- 37184: Primary percutaneous transluminal mechanical thrombectomy, non-coronary, initial vessel — https://www.med-reveal.com/rates/37184-cpt-fee-schedule
- 37191: Insertion of intravascular vena cava filter — https://www.med-reveal.com/rates/37191-cpt-fee-schedule
- 37193: Retrieval of intravascular vena cava filter, endovascular approach — https://www.med-reveal.com/rates/37193-cpt-fee-schedule
- 37211: Transcatheter thrombolytic infusion, arterial, initial treatment day — https://www.med-reveal.com/rates/37211-cpt-fee-schedule
- 37241: Vascular embolization/occlusion, venous — https://www.med-reveal.com/rates/37241-cpt-fee-schedule

Commercial negotiated rates for 47490 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