CPT 11626 Surgery - Integumentary
Exc s/n/h/f/g mal+mrg >4 cm Cost
Body System: Integumentary
Medicare Facility Rate
$254
CMS PFS CY2026
Medicare Non-Facility Rate
$419
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)
4.49
Work RVU
2.36
Facility PE RVU
0.76
Malpractice RVU
12.55
Total RVU
Frequently Asked Questions
How much does Exc s/n/h/f/g mal+mrg >4 cm cost?
The Medicare facility rate is $254. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $2. Ambulatory surgery center rate: $1.
How much does Exc s/n/h/f/g mal+mrg >4 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 $254.