CPT 13101 Surgery - Integumentary
Cmplx rpr trunk 2.6-7.5 cm Cost
Body System: Integumentary
Medicare Facility Rate
$210
CMS PFS CY2026
Medicare Non-Facility Rate
$390
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)
3.41
Work RVU
2.48
Facility PE RVU
0.40
Malpractice RVU
11.69
Total RVU
Frequently Asked Questions
How much does Cmplx rpr trunk 2.6-7.5 cm cost?
The Medicare facility rate is $210. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $755. Ambulatory surgery center rate: $405.
How much does Cmplx rpr trunk 2.6-7.5 cm 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 $210.