CPT 11721 Surgery - Integumentary

Debride nail 6 or more Cost

Body System: Integumentary

Medicare Facility Rate
$21
CMS PFS CY2026
Medicare Non-Facility Rate
$45
Office/clinic setting
Hospital Outpatient
$60
OPPS rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

0.53
Work RVU
0.06
Facility PE RVU
0.05
Malpractice RVU
1.35
Total RVU

Frequently Asked Questions

How much does Debride nail 6 or more cost?

The Medicare facility rate is $21. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $60.

How much does Debride nail 6 or more 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 $21.

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