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See a sample rate comparisonCPT 22905 Fee Schedule
Medicare rates as of October 2026
CPT 22905 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Abdomi Wal, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Abdominal Wal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 51Multiple procedures GCService performed by resident under supervision |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $1,237.50 national non-facility rate (2026)View Medicare rates for 22905 |
| Medicaid Fee Schedule | $966.945 median of the 8 states in the free previewView Medicaid rates for 22905 |
National average reimbursement for CPT 22905 by major payers:
$1,674.68
BCBS / Anthem
$1,834.71
UnitedHealthcare
$1,863.49
Aetna
$2,181.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 22905.
CPT 22905
5 of 25 sample ratesHigher to lower in this preview
Kenosha Surgicenter LLC
$2,844.00Published rateAllina Health Surgery Center- Brooklyn Park, LLC
Allina Health Surgery Center Brooklyn Park LLC
$2,046.00Published rateBloomington Advanced Surgery Center, LLC, Bloomington Advanced Surgery Center
Bloomington Advanced Surgery Center LLC
$1,670.00Published rateNorman Endoscopy Center, LLC
Norman Endoscopy Center LLC
$1,214.00Published rateYuma Surgery Center, LLC
Barnet Dulaney Perkins Eye Center PLLC
$507.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 22905 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22905. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 22900-CPT | Xcision Tumor Sft Tissue Of Abdomi Wall Subfasci (Eg Intram, Excision Tumor Soft Tissue Of Abdominal Wall Subfascial (Eg Intram |
| 22901-CPT | Xcision Tumor Sft Tissue Of Abdomi Wall Subfasci (Eg Intram, Excision Tumor Soft Tissue Of Abdominal Wall Subfascial (Eg Intram |
| 22904-CPT | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Abdomi Wal, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Abdominal Wal |
| 22905-CPT | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Abdomi Wal, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Abdominal Wal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22905. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22905 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
What APC is CPT 22905 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 22905 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 22905 in an ambulatory surgery center?
CMS lists CPT 22905 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 22905?
Hospital price transparency files list CPT 22905 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.