CPT 15131 Surgery - Integumentary
Drm agrft t/a/l ea addl Cost
Body System: Integumentary
Medicare Facility Rate
$75
CMS PFS CY2026
Medicare Non-Facility Rate
$103
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.46
Work RVU
0.53
Facility PE RVU
0.26
Malpractice RVU
3.09
Total RVU
Frequently Asked Questions
How much does Drm agrft t/a/l ea addl cost?
The Medicare facility rate is $75. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Drm agrft t/a/l ea addl 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 $75.