CPT 11462 Surgery - Integumentary
Exc skn hdrdnt ing smpl/ntrm Cost
Body System: Integumentary
Medicare Facility Rate
$243
CMS PFS CY2026
Medicare Non-Facility Rate
$450
Office/clinic setting
Hospital Outpatient
$2
OPPS rate
Surgery Center (ASC)
$1
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.93
Work RVU
3.70
Facility PE RVU
0.64
Malpractice RVU
13.46
Total RVU
Frequently Asked Questions
How much does Exc skn hdrdnt ing smpl/ntrm cost?
The Medicare facility rate is $243. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $2. Ambulatory surgery center rate: $1.
How much does Exc skn hdrdnt ing smpl/ntrm 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 $243.