CPT 21440 Surgery - Musculoskeletal
Cltx mndblr/max alv ridge fx Cost
Body System: Musculoskeletal
Medicare Facility Rate
$602
CMS PFS CY2026
Medicare Non-Facility Rate
$794
Office/clinic setting
Hospital Outpatient
$3
OPPS rate
Surgery Center (ASC)
$670
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.35
Work RVU
14.18
Facility PE RVU
0.48
Malpractice RVU
23.78
Total RVU
Frequently Asked Questions
How much does Cltx mndblr/max alv ridge fx cost?
The Medicare facility rate is $602. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $3. Ambulatory surgery center rate: $670.
How much does Cltx mndblr/max alv ridge fx 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 $602.