CPT 64590 Surgery - Nervous
Ins/rpl prph sac/gstr npg/r Cost
Body System: Nervous
Medicare Facility Rate
$267
CMS PFS CY2026
Medicare Non-Facility Rate
$428
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.97
Work RVU
2.29
Facility PE RVU
0.73
Malpractice RVU
12.82
Total RVU
Frequently Asked Questions
How much does Ins/rpl prph sac/gstr npg/r cost?
The Medicare facility rate is $267. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Ins/rpl prph sac/gstr npg/r 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 $267.