CPT 11624 Surgery - Integumentary
Exc s/n/h/f/g mal+mrg 3.1-4 Cost
Body System: Integumentary
Medicare Facility Rate
$203
CMS PFS CY2026
Medicare Non-Facility Rate
$339
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$742
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.53
Work RVU
2.07
Facility PE RVU
0.48
Malpractice RVU
10.16
Total RVU
Frequently Asked Questions
How much does Exc s/n/h/f/g mal+mrg 3.1-4 cost?
The Medicare facility rate is $203. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $742.
How much does Exc s/n/h/f/g mal+mrg 3.1-4 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 $203.