CPT 21076 Surgery - Musculoskeletal
Impres&prep surg obt prosth Cost
Body System: Musculoskeletal
Medicare Facility Rate
$628
CMS PFS CY2026
Medicare Non-Facility Rate
$920
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$430
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
13.07
Work RVU
4.07
Facility PE RVU
1.67
Malpractice RVU
27.54
Total RVU
Frequently Asked Questions
How much does Impres&prep surg obt prosth cost?
The Medicare facility rate is $628. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $430.
How much does Impres&prep surg obt prosth 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 $628.