CPT 21146 Surgery - Musculoskeletal

How Much Does Reconstruction Mdfc Lefort I 2 with Grf Cost?

Also known as: Rcnstj mdfc lefort i 2 w/grf (CPT 21146)

The total estimated cost of Reconstruction Mdfc Lefort I 2 with Grf (CPT 21146) is $4,882 to $9,154, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,453.

Total Estimated Cost of Care

$4,882 — $9,154

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

Surgeon/Physician Fee
$1,453
Hospital Facility Fee
$4,359
Anesthesia (est.)
$291
Important: The physician fee of $1,453 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)
$1,453
Physician component only — CMS PFS 2026

Procedures Commonly Done Together

These procedures are frequently performed alongside Rcnstj mdfc lefort i 2 w/grf

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How to Reduce Your Cost for Rcnstj mdfc lefort i 2 w/grf

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.

24.25
Work RVU
15.74
Practice Expense RVU
3.51
Malpractice RVU
43.50
Total RVU

Payment = Total RVU (43.50) x CF ($33.40) = $1,453

Frequently Asked Questions

How much does Rcnstj mdfc lefort i 2 w/grf cost?

The Medicare facility rate for Rcnstj mdfc lefort i 2 w/grf is $1,453. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Rcnstj mdfc lefort i 2 w/grf cost without insurance?

Without insurance, the cost of Rcnstj mdfc lefort i 2 w/grf 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 Rcnstj mdfc lefort i 2 w/grf?

Most commercial health insurance plans and Medicare cover Rcnstj mdfc lefort i 2 w/grf 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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