CPT 21616 Surgery - Musculoskeletal

Exc 1st&/crv rib w/sympth Cost

Body System: Musculoskeletal

Medicare Facility Rate
$666
CMS PFS CY2026
Medicare Non-Facility Rate
$666
Office/clinic setting

Relative Value Units (RVUs)

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

12.37
Work RVU
4.41
Facility PE RVU
3.16
Malpractice RVU
19.94
Total RVU

Frequently Asked Questions

How much does Exc 1st&/crv rib w/sympth cost?

The Medicare facility rate is $666. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Exc 1st&/crv rib w/sympth 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 $666.

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