CPT 25028 Surgery - Musculoskeletal
I&d f/arm&/wrst dp absc/hmtm Cost
Body System: Musculoskeletal
Medicare Facility Rate
$688
CMS PFS CY2026
Medicare Non-Facility Rate
$688
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
5.26
Work RVU
14.27
Facility PE RVU
1.07
Malpractice RVU
20.60
Total RVU
Frequently Asked Questions
How much does I&d f/arm&/wrst dp absc/hmtm cost?
The Medicare facility rate is $688. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does I&d f/arm&/wrst dp absc/hmtm 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 $688.