CPT 20555 Surgery - Musculoskeletal

How Much Does Place Needle Muscle/tissue for Right Cost?

Also known as: Place ndl musc/tis for rt (CPT 20555)

The total estimated cost of Place Needle Muscle/tissue for Right (CPT 20555) is $939 to $1,761, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $280.

Total Estimated Cost of Care

$939 — $1,761

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$280
Hospital Facility Fee
$839
Anesthesia (est.)
$56
Important: The physician fee of $280 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$280
Physician component only — CMS PFS 2026

Procedures Commonly Done Together

These procedures are frequently performed alongside Place ndl musc/tis for rt

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How to Reduce Your Cost for Place ndl musc/tis for rt

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.

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.

5.85
Work RVU
2.06
Practice Expense RVU
0.46
Malpractice RVU
8.37
Total RVU

Payment = Total RVU (8.37) x CF ($33.40) = $280

Frequently Asked Questions

How much does Place ndl musc/tis for rt cost?

The Medicare facility rate for Place ndl musc/tis for rt is $280. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Place ndl musc/tis for rt cost without insurance?

Without insurance, the cost of Place ndl musc/tis for rt 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 Place ndl musc/tis for rt?

Most commercial health insurance plans and Medicare cover Place ndl musc/tis for rt 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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