CPT 23480 Surgery - Musculoskeletal

How Much Does Revision of Collar Bone Cost?

Also known as: Revision of collar bone (CPT 23480)

The total estimated cost of Revision of Collar Bone (CPT 23480) is $2,567 to $4,813, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $764.

Total Estimated Cost of Care

$2,567 — $4,813

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$764
Hospital Facility Fee
$2,292
Anesthesia (est.)
$153
Important: The physician fee of $764 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$764
Physician component only — CMS PFS 2026

Procedures Commonly Done Together

These procedures are frequently performed alongside Revision of collar bone

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How to Reduce Your Cost for Revision of collar bone

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.

11.25
Work RVU
9.22
Practice Expense RVU
2.40
Malpractice RVU
22.87
Total RVU

Payment = Total RVU (22.87) x CF ($33.40) = $764

Frequently Asked Questions

How much does Revision of collar bone cost?

The Medicare facility rate for Revision of collar bone is $764. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Revision of collar bone cost without insurance?

Without insurance, the cost of Revision of collar bone 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 Revision of collar bone?

Most commercial health insurance plans and Medicare cover Revision of collar bone 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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