CPT 11422 Surgery - Integumentary
Exc h-f-nk-sp b9+marg 1.1-2 Cost
Body System: Integumentary
Medicare Facility Rate
$124
CMS PFS CY2026
Medicare Non-Facility Rate
$180
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$118
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.64
Work RVU
1.87
Facility PE RVU
0.21
Malpractice RVU
5.38
Total RVU
Frequently Asked Questions
How much does Exc h-f-nk-sp b9+marg 1.1-2 cost?
The Medicare facility rate is $124. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $118.
How much does Exc h-f-nk-sp b9+marg 1.1-2 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 $124.