CPT 21320 Surgery - Musculoskeletal
Clsd tx nsl fx w/mnpj&stablj Cost
Body System: Musculoskeletal
Medicare Facility Rate
$82
CMS PFS CY2026
Medicare Non-Facility Rate
$221
Office/clinic setting
Hospital Outpatient
$3
OPPS rate
Surgery Center (ASC)
$1
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.55
Work RVU
0.67
Facility PE RVU
0.23
Malpractice RVU
6.61
Total RVU
Frequently Asked Questions
How much does Clsd tx nsl fx w/mnpj&stablj cost?
The Medicare facility rate is $82. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $3. Ambulatory surgery center rate: $1.
How much does Clsd tx nsl fx w/mnpj&stablj cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $82.