CPT 21685 Surgery - Musculoskeletal

How Much Does Hyoid Myotomy & Suspension Cost?

Also known as: Hyoid myotomy & suspension (CPT 21685)

The total estimated cost of Hyoid Myotomy & Suspension (CPT 21685) is $2,897 to $5,432, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $862.

Total Estimated Cost of Care

$2,897 — $5,432

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$862
Hospital Facility Fee
$2,587
Anesthesia (est.)
$172
Important: The physician fee of $862 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$862
Physician component only — CMS PFS 2026

Procedures Commonly Done Together

These procedures are frequently performed alongside Hyoid myotomy & suspension

Loading related procedures...

How to Reduce Your Cost for Hyoid myotomy & suspension

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

14.88
Work RVU
8.72
Practice Expense RVU
2.22
Malpractice RVU
25.82
Total RVU

Payment = Total RVU (25.82) x CF ($33.40) = $862

Frequently Asked Questions

How much does Hyoid myotomy & suspension cost?

The Medicare facility rate for Hyoid myotomy & suspension is $862. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Hyoid myotomy & suspension cost without insurance?

Without insurance, the cost of Hyoid myotomy & suspension can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Hyoid myotomy & suspension?

Most commercial health insurance plans and Medicare cover Hyoid myotomy & suspension when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

Share This Cost Information

My Cost List

0 procedures

No procedures added yet

Click "Add to My List" on any procedure to start building your estimate.