CPT 24505 Surgery - Musculoskeletal

How Much Does Closed Treatment of Elbow Fracture Cost?

Also known as: Cltx humrl shft fx w/mnpj (CPT 24505)

Treatment of a broken elbow without surgery, using manipulation and casting.

Closed Treatment of Elbow Fracture (CPT 24505) costs $474 at Medicare rates.

Medicare (Facility)
$474
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$582
Non-facility setting

Patient Guide: Closed Treatment of Elbow Fracture

What you need to know before your appointment

What to Expect

Under sedation, the doctor realigns the broken bone and applies a splint or cast to hold it in place while it heals.

How Long Does It Take?

30-60 minutes

Common Reasons Doctors Order This

Elbow fracture, broken elbow from fall, radial head fracture

How to Prepare

Do not eat or drink. Go to the emergency room. Keep the arm immobilized.

Procedures Commonly Done Together

These procedures are frequently performed alongside Cltx humrl shft fx w/mnpj

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How to Reduce Your Cost for Cltx humrl shft fx w/mnpj

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

    For this procedure, the office rate ($582) differs from the facility rate ($474). Ask if it can be done in an office setting.

  • 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.

5.26
Work RVU
7.73
Practice Expense RVU
1.19
Malpractice RVU
17.43
Total RVU

Payment = Total RVU (17.43) x CF ($33.40) = $582

Frequently Asked Questions

How much does Cltx humrl shft fx w/mnpj cost?

The Medicare facility rate for Cltx humrl shft fx w/mnpj is $474. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Cltx humrl shft fx w/mnpj cost without insurance?

Without insurance, the cost of Cltx humrl shft fx w/mnpj 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 Cltx humrl shft fx w/mnpj?

Most commercial health insurance plans and Medicare cover Cltx humrl shft fx w/mnpj 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.

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