CPT 96936 Other
Rcm i&r only ea addl lesion Cost
Body System: General
Medicare Facility Rate
$39
CMS PFS CY2026
Medicare Non-Facility Rate
$39
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.74
Work RVU
0.41
Facility PE RVU
0.03
Malpractice RVU
1.18
Total RVU
Frequently Asked Questions
How much does Rcm i&r only ea addl lesion cost?
The Medicare facility rate is $39. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rcm i&r only ea addl lesion 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 $39.