CPT 20520 Surgery - Musculoskeletal
Rmvl fb musc/tdn simple Cost
Body System: Musculoskeletal
Medicare Facility Rate
$142
CMS PFS CY2026
Medicare Non-Facility Rate
$230
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.85
Work RVU
2.13
Facility PE RVU
0.27
Malpractice RVU
6.88
Total RVU
Frequently Asked Questions
How much does Rmvl fb musc/tdn simple cost?
The Medicare facility rate is $142. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rmvl fb musc/tdn simple 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 $142.