CPT 31225 Surgery - Respiratory
Removal of upper jaw Cost
Body System: Respiratory
Medicare Facility Rate
$1,578
CMS PFS CY2026
Medicare Non-Facility Rate
$1,578
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
26.03
Work RVU
17.40
Facility PE RVU
3.80
Malpractice RVU
47.23
Total RVU
Frequently Asked Questions
How much does Removal of upper jaw cost?
The Medicare facility rate is $1,578. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Removal of upper jaw 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 $1,578.