CPT 12046 Surgery - Integumentary
Intmd rpr n-hf/genit20.1-30 Cost
Body System: Integumentary
Medicare Facility Rate
$313
CMS PFS CY2026
Medicare Non-Facility Rate
$557
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)
4.19
Work RVU
4.07
Facility PE RVU
1.12
Malpractice RVU
16.68
Total RVU
Frequently Asked Questions
How much does Intmd rpr n-hf/genit20.1-30 cost?
The Medicare facility rate is $313. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $755. Ambulatory surgery center rate: $405.
How much does Intmd rpr n-hf/genit20.1-30 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 $313.