HCPCS G0412 HCPCS - Temporary Procedures
Open tx iliac spine uni/bil Cost
Body System: General
Medicare Facility Rate
$669
CMS PFS CY2026
Medicare Non-Facility Rate
$669
Office/clinic setting
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$5
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
10.19
Work RVU
7.67
Facility PE RVU
2.17
Malpractice RVU
20.03
Total RVU
Frequently Asked Questions
How much does Open tx iliac spine uni/bil cost?
The Medicare facility rate is $669. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $5.
How much does Open tx iliac spine uni/bil 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 $669.