CPT 22812 Surgery - Musculoskeletal

Arthrd ant dfrm 8+ vrt sgm Cost

Body System: Musculoskeletal

Medicare Facility Rate
$1,971
CMS PFS CY2026
Medicare Non-Facility Rate
$1,971
Office/clinic setting

Relative Value Units (RVUs)

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

33.39
Work RVU
18.50
Facility PE RVU
7.12
Malpractice RVU
59.01
Total RVU

Frequently Asked Questions

How much does Arthrd ant dfrm 8+ vrt sgm cost?

The Medicare facility rate is $1,971. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Arthrd ant dfrm 8+ 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 $1,971.

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