CPT 46060 Surgery - Digestive
I&d ischiorectal/ntrmrl absc Cost
Body System: Digestive
Medicare Facility Rate
$492
CMS PFS CY2026
Medicare Non-Facility Rate
$492
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.21
Work RVU
7.31
Facility PE RVU
1.20
Malpractice RVU
14.72
Total RVU
Frequently Asked Questions
How much does I&d ischiorectal/ntrmrl absc cost?
The Medicare facility rate is $492. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does I&d ischiorectal/ntrmrl absc 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 $492.