CPT 20100 Surgery - Musculoskeletal

Expl pentrg wound neck Cost

Body System: Musculoskeletal

Medicare Facility Rate

$546

CMS PFS CY2026

Medicare Non-Facility Rate

$546

Office/clinic setting

Hospital Outpatient

$551

OPPS rate

Surgery Center (ASC)

$295

ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

10.12

Work RVU

4.00

Facility PE RVU

2.22

Malpractice RVU

16.34

Total RVU

Frequently Asked Questions

How much does Expl pentrg wound neck cost?

The Medicare facility rate is $546. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $551. Ambulatory surgery center rate: $295.

How much does Expl pentrg wound neck 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 $546.