CPT 21011 Surgery - Musculoskeletal
Exc face les sc <2 cm Cost
Body System: Musculoskeletal
Medicare Facility Rate
$250
CMS PFS CY2026
Medicare Non-Facility Rate
$395
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$281
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.92
Work RVU
4.04
Facility PE RVU
0.53
Malpractice RVU
11.83
Total RVU
Frequently Asked Questions
How much does Exc face les sc <2 cm cost?
The Medicare facility rate is $250. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $281.
How much does Exc face les sc <2 cm 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 $250.