CPT 11642 Surgery - Integumentary
Exc f/e/e/n/l mal+mrg 1.1-2 Cost
Body System: Integumentary
Medicare Facility Rate
$155
CMS PFS CY2026
Medicare Non-Facility Rate
$267
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$173
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.55
Work RVU
1.78
Facility PE RVU
0.30
Malpractice RVU
7.99
Total RVU
Frequently Asked Questions
How much does Exc f/e/e/n/l mal+mrg 1.1-2 cost?
The Medicare facility rate is $155. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $173.
How much does Exc f/e/e/n/l mal+mrg 1.1-2 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 $155.