CPT 11951 Surgery - Integumentary
Subq njx fil matrl 1.1-5.0cc Cost
Body System: Integumentary
Medicare Facility Rate
$62
CMS PFS CY2026
Medicare Non-Facility Rate
$117
Office/clinic setting
Hospital Outpatient
$755
OPPS rate
Surgery Center (ASC)
$72
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.16
Work RVU
0.49
Facility PE RVU
0.21
Malpractice RVU
3.51
Total RVU
Frequently Asked Questions
How much does Subq njx fil matrl 1.1-5.0cc cost?
The Medicare facility rate is $62. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $755. Ambulatory surgery center rate: $72.
How much does Subq njx fil matrl 1.1-5.0cc 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 $62.