CPT 21480 Surgery - Musculoskeletal
Cltx tmprmand dislc 1st/sbsq Cost
Body System: Musculoskeletal
Medicare Facility Rate
$30
CMS PFS CY2026
Medicare Non-Facility Rate
$172
Office/clinic setting
Hospital Outpatient
$252
OPPS rate
Surgery Center (ASC)
$136
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.59
Work RVU
0.19
Facility PE RVU
0.13
Malpractice RVU
5.15
Total RVU
Frequently Asked Questions
How much does Cltx tmprmand dislc 1st/sbsq cost?
The Medicare facility rate is $30. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $252. Ambulatory surgery center rate: $136.
How much does Cltx tmprmand dislc 1st/sbsq 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 $30.