CPT 11421 Surgery - Integumentary
Exc h-f-nk-sp b9+marg 0.6-1 Cost
Body System: Integumentary
Medicare Facility Rate
$99
CMS PFS CY2026
Medicare Non-Facility Rate
$159
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$106
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.43
Work RVU
1.36
Facility PE RVU
0.17
Malpractice RVU
4.77
Total RVU
Frequently Asked Questions
How much does Exc h-f-nk-sp b9+marg 0.6-1 cost?
The Medicare facility rate is $99. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $106.
How much does Exc h-f-nk-sp b9+marg 0.6-1 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 $99.