CPT 12021 Surgery - Integumentary
Tx supfc wnd dehsn w/packing Cost
Body System: Integumentary
Medicare Facility Rate
$135
CMS PFS CY2026
Medicare Non-Facility Rate
$186
Office/clinic setting
Hospital Outpatient
$415
OPPS rate
Surgery Center (ASC)
$223
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.84
Work RVU
1.86
Facility PE RVU
0.33
Malpractice RVU
5.56
Total RVU
Frequently Asked Questions
How much does Tx supfc wnd dehsn w/packing cost?
The Medicare facility rate is $135. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $415. Ambulatory surgery center rate: $223.
How much does Tx supfc wnd dehsn w/packing 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 $135.