CPT 20612 Surgery - Musculoskeletal
Aspirate/inj ganglion cyst Cost
Body System: Musculoskeletal
Medicare Facility Rate
$37
CMS PFS CY2026
Medicare Non-Facility Rate
$68
Office/clinic setting
Hospital Outpatient
$314
OPPS rate
Surgery Center (ASC)
$42
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.68
Work RVU
0.33
Facility PE RVU
0.09
Malpractice RVU
2.03
Total RVU
Frequently Asked Questions
How much does Aspirate/inj ganglion cyst cost?
The Medicare facility rate is $37. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $314. Ambulatory surgery center rate: $42.
How much does Aspirate/inj ganglion cyst 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 $37.