CPT 15116 Surgery - Integumentary
Epdrm agrft f/s/n/h/f/g/m ea Cost
Body System: Integumentary
Medicare Facility Rate
$123
CMS PFS CY2026
Medicare Non-Facility Rate
$165
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.44
Work RVU
0.67
Facility PE RVU
0.56
Malpractice RVU
4.93
Total RVU
Frequently Asked Questions
How much does Epdrm agrft f/s/n/h/f/g/m ea cost?
The Medicare facility rate is $123. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Epdrm agrft f/s/n/h/f/g/m ea 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 $123.