CPT 22904 Surgery - Musculoskeletal
Radical resect abd tumor<5cm Cost
Body System: Musculoskeletal
Medicare Facility Rate
$985
CMS PFS CY2026
Medicare Non-Facility Rate
$985
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
16.27
Work RVU
9.45
Facility PE RVU
3.78
Malpractice RVU
29.50
Total RVU
Frequently Asked Questions
How much does Radical resect abd tumor<5cm cost?
The Medicare facility rate is $985. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Radical resect abd tumor<5cm 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 $985.