CPT 22903 Surgery - Musculoskeletal
Exc abd les sc 3 cm/> Cost
Body System: Musculoskeletal
Medicare Facility Rate
$429
CMS PFS CY2026
Medicare Non-Facility Rate
$429
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.23
Work RVU
5.05
Facility PE RVU
1.56
Malpractice RVU
12.84
Total RVU
Frequently Asked Questions
How much does Exc abd les sc 3 cm/> cost?
The Medicare facility rate is $429. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Exc abd les sc 3 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 $429.