CPT 21016 Surgery - Musculoskeletal

Resect face/scalp tum 2 cm/> Cost

Body System: Musculoskeletal

Medicare Facility Rate
$901
CMS PFS CY2026
Medicare Non-Facility Rate
$901
Office/clinic setting
Hospital Outpatient
$2
OPPS rate
Surgery Center (ASC)
$1
ASC rate

Relative Value Units (RVUs)

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

14.88
Work RVU
9.36
Facility PE RVU
2.75
Malpractice RVU
26.99
Total RVU

Frequently Asked Questions

How much does Resect face/scalp tum 2 cm/> cost?

The Medicare facility rate is $901. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $2. Ambulatory surgery center rate: $1.

How much does Resect face/scalp tum 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 $901.

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