CPT 26205 Surgery - Musculoskeletal
Remove/graft bone lesion Cost
Body System: Musculoskeletal
Medicare Facility Rate
$576
CMS PFS CY2026
Medicare Non-Facility Rate
$576
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
7.73
Work RVU
7.88
Facility PE RVU
1.64
Malpractice RVU
17.25
Total RVU
Frequently Asked Questions
How much does Remove/graft bone lesion cost?
The Medicare facility rate is $576. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Remove/graft bone lesion 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 $576.