CPT 22865 Surgery - Musculoskeletal
Rmvl tot arthrp 1ntrspc lmbr Cost
Body System: Musculoskeletal
Medicare Facility Rate
$2,217
CMS PFS CY2026
Medicare Non-Facility Rate
$2,217
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
30.96
Work RVU
22.35
Facility PE RVU
13.08
Malpractice RVU
66.39
Total RVU
Frequently Asked Questions
How much does Rmvl tot arthrp 1ntrspc lmbr cost?
The Medicare facility rate is $2,217. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rmvl tot arthrp 1ntrspc lmbr 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 $2,217.