CPT 21013 Surgery - Musculoskeletal
Exc face tum deep < 2 cm Cost
Body System: Musculoskeletal
Medicare Facility Rate
$372
CMS PFS CY2026
Medicare Non-Facility Rate
$565
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$358
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
5.28
Work RVU
4.87
Facility PE RVU
0.98
Malpractice RVU
16.93
Total RVU
Frequently Asked Questions
How much does Exc face tum deep < 2 cm cost?
The Medicare facility rate is $372. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $358.
How much does Exc face tum deep < 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 $372.