CPT 24516 Surgery - Musculoskeletal

How Much Does Treatment Humrl Shaft Fracture Imed Implant Cost?

Also known as: Tx humrl shaft fx imed implt (CPT 24516)

Surgical treatment of a humeral shaft fracture with fixation.

The total estimated cost of Treatment Humrl Shaft Fracture Imed Implant (CPT 24516) is $2,680 to $5,026, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $798.

Total Estimated Cost of Care

$2,680 — $5,026

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

Surgeon/Physician Fee
$798
Hospital Facility Fee
$2,393
Anesthesia (est.)
$160
Important: The physician fee of $798 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)
$798
Physician component only — CMS PFS 2026

Patient Guide: Treatment Humrl Shaft Fracture Imed Implant

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon realigns the fracture and secures it with a plate and screws or an intramedullary rod.

How Long Does It Take?

1-2 hours

Common Reasons Doctors Order This

Displaced humeral shaft fracture, fracture with nerve injury, fracture not healing in brace

How to Prepare

Fast before surgery. Activity restrictions for several weeks. Physical therapy to restore function.

Procedures Commonly Done Together

These procedures are frequently performed alongside Tx humrl shaft fx imed implt

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How to Reduce Your Cost for Tx humrl shaft fx imed implt

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.

11.89
Work RVU
9.49
Practice Expense RVU
2.50
Malpractice RVU
23.88
Total RVU

Payment = Total RVU (23.88) x CF ($33.40) = $798

Frequently Asked Questions

How much does Tx humrl shaft fx imed implt cost?

The Medicare facility rate for Tx humrl shaft fx imed implt is $798. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Tx humrl shaft fx imed implt cost without insurance?

Without insurance, the cost of Tx humrl shaft fx imed implt 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 Tx humrl shaft fx imed implt?

Most commercial health insurance plans and Medicare cover Tx humrl shaft fx imed implt 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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