CPT 21936 Surgery - Musculoskeletal
Resect back tum 5 cm/> Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,308
CMS PFS CY2026
Medicare Non-Facility Rate
$1,308
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
21.99
Work RVU
11.94
Facility PE RVU
5.23
Malpractice RVU
39.16
Total RVU
Frequently Asked Questions
How much does Resect back tum 5 cm/> cost?
The Medicare facility rate is $1,308. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Resect back tum 5 cm/> 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 $1,308.