CPT 21143 Surgery - Musculoskeletal

Rcnstj mdface lefort i 3/>pc Cost

Body System: Musculoskeletal

Medicare Facility Rate
$1,274
CMS PFS CY2026
Medicare Non-Facility Rate
$1,274
Office/clinic setting
Hospital Outpatient
$6
OPPS rate
Surgery Center (ASC)
$3
ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

20.52
Work RVU
14.63
Facility PE RVU
2.98
Malpractice RVU
38.13
Total RVU

Frequently Asked Questions

How much does Rcnstj mdface lefort i 3/>pc cost?

The Medicare facility rate is $1,274. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $6. Ambulatory surgery center rate: $3.

How much does Rcnstj mdface lefort i 3/>pc 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 $1,274.

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