CPT 11423 Surgery - Integumentary
Exc h-f-nk-sp b9+marg 2.1-3 Cost
Body System: Integumentary
Medicare Facility Rate
$144
CMS PFS CY2026
Medicare Non-Facility Rate
$209
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$133
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.01
Work RVU
2.02
Facility PE RVU
0.27
Malpractice RVU
6.25
Total RVU
Frequently Asked Questions
How much does Exc h-f-nk-sp b9+marg 2.1-3 cost?
The Medicare facility rate is $144. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $133.
How much does Exc h-f-nk-sp b9+marg 2.1-3 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 $144.