CPT 21081 Surgery - Musculoskeletal
Impres&prep mndbl res prosth Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,066
CMS PFS CY2026
Medicare Non-Facility Rate
$1,592
Office/clinic setting
Hospital Outpatient
$6
OPPS rate
Surgery Center (ASC)
$762
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
22.28
Work RVU
6.95
Facility PE RVU
2.68
Malpractice RVU
47.67
Total RVU
Frequently Asked Questions
How much does Impres&prep mndbl res prosth cost?
The Medicare facility rate is $1,066. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $6. Ambulatory surgery center rate: $762.
How much does Impres&prep mndbl res 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 $1,066.