CPT 96567 Other

How Much Does Pdt dstr prmlg les skn Cost?

Pdt dstr prmlg les skn (CPT 96567) costs $129 at Medicare rates. Hospital outpatient rate: $205.

Cost Comparison by Payer

How much Pdt dstr prmlg les skn costs across different settings and payers

Medicare
Facility rate
$129
Hospital Outpatient
OPPS rate
$205
Medicare (Facility)
$129
CMS PFS 2026 national rate
Hospital Outpatient
$205
OPPS rate

Procedures Commonly Done Together

These procedures are frequently performed alongside Pdt dstr prmlg les skn

Loading related procedures...

How to Reduce Your Cost for Pdt dstr prmlg les skn

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

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

Frequently Asked Questions

How much does Pdt dstr prmlg les skn cost?

The Medicare facility rate for Pdt dstr prmlg les skn is $129. In a hospital outpatient setting, the rate is $205. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Pdt dstr prmlg les skn cost without insurance?

Without insurance, the cost of Pdt dstr prmlg les skn 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 Pdt dstr prmlg les skn?

Most commercial health insurance plans and Medicare cover Pdt dstr prmlg les skn 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.

Share This Cost Information

My Cost List

0 procedures

No procedures added yet

Click "Add to My List" on any procedure to start building your estimate.