From Code to Cash: A Guide to U.S. Medical Device Reimbursement Rates

Medical Device Global Market Access · Sep 19, 2025 · 3m

Securing a U.S. medical device code is only half the battle; the next challenge is determining its payment rate. This episode breaks down the three primary pathways for setting reimbursement rates in the United States. We explore the roles of CMS and private payers, detailing the specifics of the cross-walking and gap-filling processes, including key timelines like the annual summer public meetings. We also uncover the most common pitfalls that can delay or diminish your device's earning potential, from unfavorable comparisons to the complexities of negotiating with hundreds of individual…