CPT 24065 Surgery - Musculoskeletal
Biopsy arm/elbow soft tissue Cost
Body System: Musculoskeletal
Medicare Facility Rate
$149
CMS PFS CY2026
Medicare Non-Facility Rate
$262
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.08
Work RVU
2.09
Facility PE RVU
0.28
Malpractice RVU
7.85
Total RVU
Frequently Asked Questions
How much does Biopsy arm/elbow soft tissue cost?
The Medicare facility rate is $149. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Biopsy arm/elbow soft tissue 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 $149.