CPT 21085 Surgery - Musculoskeletal
Impres&prep oral surg splint Cost
Body System: Musculoskeletal
Medicare Facility Rate
$430
CMS PFS CY2026
Medicare Non-Facility Rate
$710
Office/clinic setting
Hospital Outpatient
$242
OPPS rate
Surgery Center (ASC)
$130
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
8.77
Work RVU
3.03
Facility PE RVU
1.07
Malpractice RVU
21.26
Total RVU
Frequently Asked Questions
How much does Impres&prep oral surg splint cost?
The Medicare facility rate is $430. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $242. Ambulatory surgery center rate: $130.
How much does Impres&prep oral surg splint 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 $430.