CPT 21079 Surgery - Musculoskeletal
Impres&prep intrm obt prosth Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,036
CMS PFS CY2026
Medicare Non-Facility Rate
$1,522
Office/clinic setting
Hospital Outpatient
$3
OPPS rate
Surgery Center (ASC)
$714
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
21.75
Work RVU
6.72
Facility PE RVU
2.55
Malpractice RVU
45.56
Total RVU
Frequently Asked Questions
How much does Impres&prep intrm obt prosth cost?
The Medicare facility rate is $1,036. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $3. Ambulatory surgery center rate: $714.
How much does Impres&prep intrm 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 $1,036.