CPT 21030 Surgery - Musculoskeletal
Excise max/zygoma b9 tumor Cost
Body System: Musculoskeletal
Medicare Facility Rate
$337
CMS PFS CY2026
Medicare Non-Facility Rate
$476
Office/clinic setting
Hospital Outpatient
$6
OPPS rate
Surgery Center (ASC)
$298
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.79
Work RVU
4.70
Facility PE RVU
0.59
Malpractice RVU
14.25
Total RVU
Frequently Asked Questions
How much does Excise max/zygoma b9 tumor cost?
The Medicare facility rate is $337. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $6. Ambulatory surgery center rate: $298.
How much does Excise max/zygoma b9 tumor 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 $337.