CPT 63042 Surgery - Nervous
Laminotomy single lumbar Cost
Body System: Nervous
Medicare Facility Rate
$1,220
CMS PFS CY2026
Medicare Non-Facility Rate
$1,220
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
18.29
Work RVU
12.73
Facility PE RVU
5.50
Malpractice RVU
36.52
Total RVU
Frequently Asked Questions
How much does Laminotomy single lumbar cost?
The Medicare facility rate is $1,220. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Laminotomy single lumbar 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 $1,220.