HCPCS G0413 HCPCS - Temporary Procedures
Pelvic ring fracture uni/bil Cost
Body System: General
Medicare Facility Rate
$978
CMS PFS CY2026
Medicare Non-Facility Rate
$978
Office/clinic setting
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$4
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
15.34
Work RVU
10.68
Facility PE RVU
3.26
Malpractice RVU
29.28
Total RVU
Frequently Asked Questions
How much does Pelvic ring fracture uni/bil cost?
The Medicare facility rate is $978. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $4.
How much does Pelvic ring fracture 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 $978.