CPT 10005 Surgery - Integumentary
Fna bx w/us gdn 1st les Cost
Body System: Integumentary
Medicare Facility Rate
$62
CMS PFS CY2026
Medicare Non-Facility Rate
$132
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$389
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.42
Work RVU
0.28
Facility PE RVU
0.17
Malpractice RVU
3.96
Total RVU
Frequently Asked Questions
How much does Fna bx w/us gdn 1st les cost?
The Medicare facility rate is $62. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $389.
How much does Fna bx w/us gdn 1st les cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $62.