CPT 59866 Surgery - Maternity
Abortion (mpr) Cost
Body System: Reproductive
Medicare Facility Rate
$213
CMS PFS CY2026
Medicare Non-Facility Rate
$213
Office/clinic setting
Hospital Outpatient
$311
OPPS rate
Surgery Center (ASC)
$167
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.89
Work RVU
1.25
Facility PE RVU
1.25
Malpractice RVU
6.39
Total RVU
Frequently Asked Questions
How much does Abortion (mpr) cost?
The Medicare facility rate is $213. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $311. Ambulatory surgery center rate: $167.
How much does Abortion (mpr) 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 $213.