CPT 23030 Surgery - Musculoskeletal
I&d shoulder deep absc/hmtma Cost
Body System: Musculoskeletal
Medicare Facility Rate
$244
CMS PFS CY2026
Medicare Non-Facility Rate
$474
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.38
Work RVU
3.22
Facility PE RVU
0.70
Malpractice RVU
14.19
Total RVU
Frequently Asked Questions
How much does I&d shoulder deep absc/hmtma cost?
The Medicare facility rate is $244. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does I&d shoulder deep absc/hmtma 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 $244.