CPT 11720 Surgery - Integumentary
Debride nail 1-5 Cost
Body System: Integumentary
Medicare Facility Rate
$13
CMS PFS CY2026
Medicare Non-Facility Rate
$33
Office/clinic setting
Hospital Outpatient
$60
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.31
Work RVU
0.04
Facility PE RVU
0.03
Malpractice RVU
0.98
Total RVU
Frequently Asked Questions
How much does Debride nail 1-5 cost?
The Medicare facility rate is $13. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $60.
How much does Debride nail 1-5 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 $13.