How Much Does Optx Radial Head/neck Fracture Cost?
Also known as: Optx radial head/neck fx (CPT 24665)
Surgical treatment of a radial head fracture with fixation or replacement.
The total estimated cost of Optx Radial Head/neck Fracture (CPT 24665) is $2,090 to $3,920, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $622.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Optx Radial Head/neck Fracture
What you need to know before your appointment
What to Expect
Under anesthesia, the surgeon repairs the broken radial head with screws or replaces it with a metal prosthesis.
How Long Does It Take?
1-2 hours
Common Reasons Doctors Order This
Displaced radial head fracture, comminuted radial head fracture, elbow instability from fracture
How to Prepare
Fast before surgery. Early movement is important to prevent elbow stiffness. Physical therapy is essential.
Procedures Commonly Done Together
These procedures are frequently performed alongside Optx radial head/neck fx
How to Reduce Your Cost for Optx radial head/neck fx
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.
Payment = Total RVU (18.63) x CF ($33.40) = $622
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Optx radial head/neck fx cost?
The Medicare facility rate for Optx radial head/neck fx is $622. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Optx radial head/neck fx cost without insurance?
Without insurance, the cost of Optx radial head/neck fx 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 Optx radial head/neck fx?
Most commercial health insurance plans and Medicare cover Optx radial head/neck fx 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.