CPT 12001 Surgery - Integumentary
Rpr s/n/ax/gen/trnk 2.5cm/< Cost
Body System: Integumentary
Medicare Facility Rate
$44
CMS PFS CY2026
Medicare Non-Facility Rate
$114
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.82
Work RVU
0.32
Facility PE RVU
0.18
Malpractice RVU
3.41
Total RVU
Frequently Asked Questions
How much does Rpr s/n/ax/gen/trnk 2.5cm/< cost?
The Medicare facility rate is $44. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rpr s/n/ax/gen/trnk 2.5cm/< 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 $44.