CPT 12020 Surgery - Integumentary
Tx supfc wnd dehsn smpl clsr Cost
Body System: Integumentary
Medicare Facility Rate
$179
CMS PFS CY2026
Medicare Non-Facility Rate
$317
Office/clinic setting
Hospital Outpatient
$755
OPPS rate
Surgery Center (ASC)
$405
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.60
Work RVU
2.32
Facility PE RVU
0.43
Malpractice RVU
9.48
Total RVU
Frequently Asked Questions
How much does Tx supfc wnd dehsn smpl clsr cost?
The Medicare facility rate is $179. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $755. Ambulatory surgery center rate: $405.
How much does Tx supfc wnd dehsn smpl clsr 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 $179.