CPT 11600 Surgery - Integumentary
Exc tr-ext mal+marg 0.5 cm/< Cost
Body System: Integumentary
Medicare Facility Rate
$109
CMS PFS CY2026
Medicare Non-Facility Rate
$198
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$139
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.59
Work RVU
1.45
Facility PE RVU
0.21
Malpractice RVU
5.94
Total RVU
Frequently Asked Questions
How much does Exc tr-ext mal+marg 0.5 cm/< cost?
The Medicare facility rate is $109. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $139.
How much does Exc tr-ext mal+marg 0.5 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 $109.