CPT 22554 Surgery - Musculoskeletal

How Much Does Arthrd ant ntrbd min dsc crv Cost?

Arthrd ant ntrbd min dsc crv (CPT 22554) costs $1,216 at Medicare rates. Hospital outpatient rate: $13.

Cost Comparison by Payer

How much Arthrd ant ntrbd min dsc crv costs across different settings and payers

Medicare
Facility rate
$1,216
Hospital Outpatient
OPPS rate
$13
Surgery Center
ASC rate
$8
Medicare (Facility)
$1,216
CMS PFS 2026 national rate
Hospital Outpatient
$13
OPPS rate
Surgery Center (ASC)
$8
Ambulatory surgery center

Arthrd ant ntrbd min dsc crv Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA $1,453 $1,889 — $2,907
AL — ALABAMA $1,082 $1,406 — $2,163
AR — ARKANSAS $1,064 $1,384 — $2,129
AZ — ARIZONA $1,180 $1,534 — $2,360
CA — BAKERSFIELD $1,200 $1,560 — $2,400
CA — CHICO $1,185 $1,540 — $2,369
CA — EL CENTRO $1,186 $1,541 — $2,371
CA — FRESNO $1,185 $1,540 — $2,369
CA — HANFORD-CORCORAN $1,185 $1,540 — $2,369
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $1,262 $1,641 — $2,525
CA — MADERA $1,185 $1,540 — $2,369
CA — MERCED $1,185 $1,540 — $2,369
CA — MODESTO $1,185 $1,540 — $2,369
CA — NAPA $1,305 $1,697 — $2,610
CA — OXNARD-THOUSAND OAKS-VENTURA $1,246 $1,620 — $2,493
CA — REDDING $1,185 $1,540 — $2,369
CA — REST OF CALIFORNIA $1,185 $1,540 — $2,369
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $1,247 $1,621 — $2,494
CA — SACRAMENTO-ROSEVILLE-FOLSOM $1,226 $1,593 — $2,451
CA — SALINAS $1,221 $1,587 — $2,442
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $1,238 $1,609 — $2,476
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $1,355 $1,762 — $2,711
CA — SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) $1,349 $1,753 — $2,698
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) $1,393 $1,812 — $2,787
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) $1,366 $1,776 — $2,733

How to Reduce Your Cost for Arthrd ant ntrbd min dsc crv

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $1,064 to $1,539 depending on location. Commercial rates vary even more.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $8, compared to $13 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

17.25
Work RVU
13.35
Practice Expense RVU
5.80
Malpractice RVU
36.40
Total RVU

Payment = Total RVU (36.40) x CF ($33.40) = $1,216

Frequently Asked Questions

How much does Arthrd ant ntrbd min dsc crv cost?

The Medicare facility rate for Arthrd ant ntrbd min dsc crv is $1,216. In a hospital outpatient setting, the rate is $13. At an ambulatory surgery center, the rate is $8. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Arthrd ant ntrbd min dsc crv cost without insurance?

Without insurance, the cost of Arthrd ant ntrbd min dsc crv can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Arthrd ant ntrbd min dsc crv?

Most commercial health insurance plans and Medicare cover Arthrd ant ntrbd min dsc crv when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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