CPT 21086 Surgery - Musculoskeletal
Impres&prep auricular prosth Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,127
CMS PFS CY2026
Medicare Non-Facility Rate
$1,627
Office/clinic setting
Hospital Outpatient
$3
OPPS rate
Surgery Center (ASC)
$728
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
24.26
Work RVU
6.71
Facility PE RVU
2.76
Malpractice RVU
48.72
Total RVU
Frequently Asked Questions
How much does Impres&prep auricular prosth cost?
The Medicare facility rate is $1,127. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $3. Ambulatory surgery center rate: $728.
How much does Impres&prep auricular 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 $1,127.