CPT 20985 Surgery - Musculoskeletal
Cptr-asst dir ms px Cost
Body System: Musculoskeletal
Medicare Facility Rate
$124
CMS PFS CY2026
Medicare Non-Facility Rate
$124
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.44
Work RVU
0.77
Facility PE RVU
0.50
Malpractice RVU
3.71
Total RVU
Frequently Asked Questions
How much does Cptr-asst dir ms px cost?
The Medicare facility rate is $124. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cptr-asst dir ms px 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 $124.