CPT 21159 Surgery - Musculoskeletal
Rcnst mdfc lfrtiii advm wo i Cost
Body System: Musculoskeletal
Medicare Facility Rate
$2,210
CMS PFS CY2026
Medicare Non-Facility Rate
$2,210
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)
42.06
Work RVU
17.96
Facility PE RVU
6.15
Malpractice RVU
66.17
Total RVU
Frequently Asked Questions
How much does Rcnst mdfc lfrtiii advm wo i cost?
The Medicare facility rate is $2,210. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $6. Ambulatory surgery center rate: $3.
How much does Rcnst mdfc lfrtiii advm wo i 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 $2,210.