CPT 11403 Surgery - Integumentary
Exc tr-ext b9+marg 2.1-3cm Cost
Body System: Integumentary
Medicare Facility Rate
$136
CMS PFS CY2026
Medicare Non-Facility Rate
$200
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$132
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.79
Work RVU
2.02
Facility PE RVU
0.25
Malpractice RVU
5.98
Total RVU
Frequently Asked Questions
How much does Exc tr-ext b9+marg 2.1-3cm cost?
The Medicare facility rate is $136. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $132.
How much does Exc tr-ext b9+marg 2.1-3cm 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 $136.