CPT 12002 Surgery - Integumentary
Rpr s/n/ax/gen/trnk2.6-7.5cm Cost
Body System: Integumentary
Medicare Facility Rate
$57
CMS PFS CY2026
Medicare Non-Facility Rate
$139
Office/clinic setting
Hospital Outpatient
$205
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.11
Work RVU
0.37
Facility PE RVU
0.24
Malpractice RVU
4.17
Total RVU
Frequently Asked Questions
How much does Rpr s/n/ax/gen/trnk2.6-7.5cm cost?
The Medicare facility rate is $57. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $205.
How much does Rpr s/n/ax/gen/trnk2.6-7.5cm 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 $57.