CPT 45123 Surgery - Digestive
Partial proctectomy Cost
Body System: Digestive
Medicare Facility Rate
$1,033
CMS PFS CY2026
Medicare Non-Facility Rate
$1,033
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
18.39
Work RVU
9.25
Facility PE RVU
3.28
Malpractice RVU
30.92
Total RVU
Frequently Asked Questions
How much does Partial proctectomy cost?
The Medicare facility rate is $1,033. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Partial proctectomy 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 $1,033.