CPT 22802 Surgery - Musculoskeletal
Arthrd pst dfrm 7-12 vrt sgm Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,936
CMS PFS CY2026
Medicare Non-Facility Rate
$1,936
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
31.31
Work RVU
17.86
Facility PE RVU
8.80
Malpractice RVU
57.97
Total RVU
Frequently Asked Questions
How much does Arthrd pst dfrm 7-12 vrt sgm cost?
The Medicare facility rate is $1,936. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Arthrd pst dfrm 7-12 vrt sgm 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 $1,936.