CPT 11406 Surgery - Integumentary
Exc tr-ext b9+marg >4.0 cm Cost
Body System: Integumentary
Medicare Facility Rate
$228
CMS PFS CY2026
Medicare Non-Facility Rate
$334
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$742
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.43
Work RVU
2.75
Facility PE RVU
0.64
Malpractice RVU
9.99
Total RVU
Frequently Asked Questions
How much does Exc tr-ext b9+marg >4.0 cm cost?
The Medicare facility rate is $228. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $742.
How much does Exc tr-ext b9+marg >4.0 cm 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 $228.