CPT 11640 Surgery - Integumentary
Exc f/e/e/n/l mal+mrg 0.5cm< Cost
Body System: Integumentary
Medicare Facility Rate
$111
CMS PFS CY2026
Medicare Non-Facility Rate
$202
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$142
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.63
Work RVU
1.49
Facility PE RVU
0.20
Malpractice RVU
6.06
Total RVU
Frequently Asked Questions
How much does Exc f/e/e/n/l mal+mrg 0.5cm< cost?
The Medicare facility rate is $111. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $142.
How much does Exc f/e/e/n/l mal+mrg 0.5cm< 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 $111.